造口旁疝腹腔镜Sugarbaker修补七步法操作指南(2022年版):附视频

Seven-step operation guidelines for laparoscopic Sugarbaker repair of parastomal hernia(Edition 2022):video attached

低位直肠癌综合治疗效果逐年改善,患者生存期逐步延长,腹会阴联合切除术后造口旁疝发病率也逐渐提高。腹腔镜下腹腔内网片植入术,包括Keyhole及Sugarbaker技术,能有效修补造口旁疝,Sugarbaker技术在临床应用更为广泛。由于技术、材料的不均衡,近年来临床上也出现了许多术中术后的并发症,例如复发、造口梗阻、补片感染等。腹腔镜下造口旁疝的Sugarbaker修补,需要规范化等操作步骤,以减少这一现象的发生。陈双教授团队在腹股沟疝、切口疝及食管裂孔疝等领域,开展了以七步法为核心的临床技能培训,在疝腔镜修补技术领域取得了良好的效果。为此,广东省医师协会疝和腹壁外科医师分会结合陈双教授团队培训经验,组织编写《造口旁疝腹腔镜Sugarbaker修补七步法操作指南(2022年版)》,为临床提供规范化和标准化的操作流程,帮助从事造口旁疝治疗的外科医师规范操作、缩短学习曲线、减少患者术后的并发症。

The comprehensive treatment effect of low-level rectal cancer has improved year by year,the survival time of patients has gradually increased,and the incidence of parastomal hernia after abdominal perineal combined resection has gradually increased.Laparoscopic intraperitoneal mesh implantation,including Keyhole and Sugarbaker techniques,can effectively repair parastomal hernias,and Sugarbaker techniques are more widely used in clinical practice.Due to the imbalance of technology and materials,many intraoperative and postoperative complications have also appeared in recent years,such as recurrence,stoma obstruction,and patch infection.Sugarbaker repair of laparoscopic parastomal hernia requires procedures such as normalization to reduce the occurrence.Professor Chen Shuang’s team carried out clinical skills training with the seven-step method as the core in the fields of inguinal hernia,incisional hernia and hiatal hernia,and achieved good results in the field of hernia endoscopic repair technology.To this end,Guangdong Medical Doctor Association Hernia and Abdominal Wall Surgeon Branch combined with Professor Chen Shuang’s team training experience,organized the preparation of the 2022 edition of the Seven-step Operation Guidelines for Laparoscopic Sugarbaker Repair of Parastomal Hernia,which provides standardized operation procedures for the clinic,standardizes the operation for surgeons engaged in the treatment of parastomat hernia,shortens the learning curve,and reduces postoperative complications for patients.