加速康复外科理念下腹腔镜造口还纳术(附2例报告)

Laparoscopic stoma apothesis on the concept of fast track surgery:with a report of two cases

目的:探讨在加速康复外科理念下腹腔镜造口还纳术的安全性及可行性。方法:回顾分析行腹腔镜造口还纳术2例患者的临床资料,观察手术时间、出血量、术中术后并发症、是否中转开腹、术后住院时间等。结果:2例手术均获成功,无中转开腹。手术时间分别为90min和120min,出血量均小于30ml,切口一期愈合,无吻合口漏等相关并发症。术后分别住院3d、4d。结论:加速康复外科理念下腹腔镜技术用于肠道的造口还纳手术是安全、可行的,且疗效显著。

Objective：To discuss the security and feasibility of the laparoscopic stoma apothesis on the concept of fast track surgery（FTS）.Methods：The clinical data of two patients who underwent laparoscopic stoma apothesis was retrospectively analyzed,the operative time,blood loss,intraoperative and postoperative complications,whether conversion to open surgery,postoperative hospital stay and so on were observed.Results：Both operations were successful,neither conversion to open surgery occurred.The operative time was 90min and 120min,blood loss in the operation were both less than 30ml,the incisions well healed,no complications such as stomal leak occurred.The postoperative hospital stay was 3d and 4d.Conclusions：It is safe and feasible to use the laparoscopic technology in the enteric stoma apothesis on the concept of FTS,and the therapeutic effect is dramatic.