지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 17 - 21 (5page)
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Purpose: Single-port laparoscopic techniques can be optimized with confined incisions. This approach has an intraoperative advantage of excellent visualization of the correct intestinal segment for exteriorization, along with direct visual control of the extraction to avoid twisting. However, only a few studies have verified the efficacy of the technique. Thus, this study assessed the results of single-port laparoscopic stoma creation for fecal diversion, specifically focusing on feasibility, safety, and efficacy. Methods: Patients who underwent single-incision enterostomy performed by a single surgeon were included. Data on demographics, indications for and chosen procedure, and operation results were retrospectively collected and analyzed. Results: Between April 2015 and January 2018, a total of 13 patients (8 males, 5 females) with a mean age of 57.7 years (range, 41–83 years) underwent single-port ileostomy creation. The most common reason for diversion was palliative ileostomy for colon obstruction or fistula from peritoneal malignancy (n = 12), followed by colonic fistula with necrotizing pancreatitis (n = 1). There were no cases of conversion to open or multiport laparoscopic surgery. The mean operative time was 54 minutes (range, 37–118 minutes), and the median length of hospital stay was 8 days (range, 2–211 days). A postoperative complication, aspiration pneumonia, was documented in 1 patient and treated conservatively. The mean duration of bowel movement was 0.7 days (range, 0–4 days). All stomas had good function, and there was no 30-day mortality. Conclusion: Single-port laparoscopic ileostomy in patients with a palliative setting could be a safe and feasible option for fecal diversion.
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등록된 정보가 없습니다.
참고문헌 (25)
참고문헌 신청
Cuschieri A / 1991 / The European experience with laparoscopic cholecystectomy / Am J Surg 161:385~387
Danforth RM / 2015 / Safety and short-term outcomes of a single-port laparoscopic approach to colorectal surgery / JAMA Surg 150:1195~1197
Lee WS / 2013 / Single-port laparoscopic appendectomy versus conventional laparoscopic appendectomy : a prospective randomized controlled study / Ann Surg 257:214~218
Ma J / 2011 / Randomized controlled trial comparing single-port laparoscopic cholecystectomy and four-port laparoscopic cholecystectomy / Ann Surg 254:22~27
Omar MA / 2017 / Single-incision versus 3-port laparoscopic cholecystectomy in symptomatic gallstones : A prospective randomized study / Surgery 162:96~103
Danforth RM / 2015 / Safety and short-term outcomes of a single-port laparoscopic approach to colorectal surgery / JAMA Surg 150:1195~1197
Lee WS / 2013 / Single-port laparoscopic appendectomy versus conventional laparoscopic appendectomy : a prospective randomized controlled study / Ann Surg 257:214~218
Ma J / 2011 / Randomized controlled trial comparing single-port laparoscopic cholecystectomy and four-port laparoscopic cholecystectomy / Ann Surg 254:22~27
Omar MA / 2017 / Single-incision versus 3-port laparoscopic cholecystectomy in symptomatic gallstones : A prospective randomized study / Surgery 162:96~103
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Risk factors of stoma re-creation after closure of diverting ileostomy in patients with rectal cancer who underwent low anterior resection or intersphincteric resection with loop ileostomy
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