[回肠造口相关并发症的预防及直肠癌保肛手术的处理]。

Q3 Medicine
X H Hu, X Yin, Z M Zhao, B K Li, G Y Wang
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引用次数: 0

摘要

保护性回肠造口术是直肠癌低位前切除术中一项重要的桥接手术,旨在预防严重的吻合口并发症。它已被证明可以显著降低由吻合口漏引起的盆腔感染的风险。然而,回肠造口术是否在预防吻合口瘘方面发挥积极的临床作用仍然是一个相当有争议的话题。创建保护性回肠造口的程序相对简单和方便,使其成为临床实践中常用的方法。然而,作为一种创伤性手术,回肠造口术本身可能导致一系列并发症。因此,全面了解回肠造口术的潜在并发症,制定优化的管理策略,仔细选择合适的患者进行预防性回肠造口术是至关重要的,这些步骤具有重要的临床价值。本文就预防性回肠造口术的类型、发展、应用以及常见并发症的处理和预防策略作一综述。目的是为临床外科医生在直肠癌保括约肌手术中优化造口管理和减少并发症提供有价值的指导。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Prevention of ileostomy-related complications and management of anal preservation surgery for rectal cancer].

Protective ileostomy is an important bridging procedure in low anterior resection for rectal cancer, aimed at preventing severe anastomotic complications. It has been shown to significantly reduce the risk of pelvic infections resulting from anastomotic leakage. However, whether ileostomy plays a positive clinical role in preventing anastomotic leaks remains a subject of considerable debate. The procedure for creating a protective ileostomy is relatively simple and convenient, making it a commonly used approach in clinical practice. Nevertheless, as a traumatic surgical procedure, ileostomy itself may lead to a range of complications. Therefore, it is crucial to comprehensively understand the potential complications associated with ileostomy, develop optimized management strategies, and carefully select appropriate patients for preventive ileostomy, as these steps hold significant clinical value. This article provides a systematic review of the types, development, and application of preventive ileostomy, as well as the management and prevention strategies for common complications. The aim is to offer valuable guidance to clinical surgeons in optimizing stoma management and minimizing complications in rectal cancer sphincter-preserving surgery.

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来源期刊
中华胃肠外科杂志
中华胃肠外科杂志 Medicine-Medicine (all)
CiteScore
1.00
自引率
0.00%
发文量
6776
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