摘要
回肠储袋肛管吻合术(IPAA)多采用J型回肠储袋,在系膜长度足够的情况下进行无张力吻合。我们报道1例溃疡性结肠炎患者术中采用离断回结肠血管以延长系膜长度,拟构建J型储袋吻合时,发现系膜长度略短导致无法完成无张力肛管吻合,遂改为构建S型储袋,增加了2 cm系膜长度,顺利完成IPAA手术。
J-pouch is mostly used in ileal pouch-anal anastomosis(IPAA),and tension-free anastomosis is performed when the length of mesentery is sufficient.A case with ulcerative colitis undergoing S-pouch during IPAA procedure was reported.When the J-pouch was to be constructed for anastomosis,it was found that the length of the mesentery was slightly shorter and the tension-free anal anastomosis could not be completed.Therefore,the ileocolic vessels were cut to prolong the mesentery for more than 2 cm,then the S-pouch was constructed instead.The IPAA was successfully completed.
作者
李爱军
万伟
王加勇
刘敏
姜金波
Li Aijun;Wan Wei;Wang Jiayong;Liu Min;Jiang Jinbo(Department of General Surgery,Lingchengqu Hospital,Dezhou 253500,Shandong Province,China;Department of Colorectal Surgery,Yidu Central Hospital,Qingzhou 262500,Shandong Province,China;Department of Colorectal Surgery,Qilu Hospital,Shandong University,Jinan 250012,China;The Second Operating Room,Qilu Hospital,Shandong University,Jinan 250012,China)
出处
《中华炎性肠病杂志（中英文）》
2020年第3期266-269,共4页
Chinese Journal of Inflammatory Bowel Diseases
基金
山东省自然科学基金(ZR2019MH071)。
