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中华结直肠疾病电子杂志 ›› 2017, Vol. 06 ›› Issue (05) : 373 -376. doi: 10.3877/cma.j.issn.2095-3224.2017.05.004

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青年专家论坛

低位直肠癌保肛术预防性回肠造口若干问题探讨
裴炜1, 王锡山1,()   
  1. 1. 100021 北京,国家癌症中心/中国医学科学院北京协和医学院肿瘤医院结直肠外科
  • 收稿日期:2017-03-25 出版日期:2017-10-25
  • 通信作者: 王锡山
  • 基金资助:
    国家自然科学基金面上项目(No.81572930); 中国医学科学院肿瘤医院学科带头人奖励基金(No.RC2016003); 国家重点研发计划精准医学研究专项(No.2016YFC0905300); 中国医学科学院医学与健康科技创新工程项目(No.2016-I2M-1-001)

Discussion on some problems of protective defunctioning ileostomy in low anterior resection

Wei Pei1, Xishan Wang1,()   

  1. 1. Department of Colorectal Surgery, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
  • Received:2017-03-25 Published:2017-10-25
  • Corresponding author: Xishan Wang
  • About author:
    Corresponding author: Wang Xishan, Email:
引用本文:

裴炜, 王锡山. 低位直肠癌保肛术预防性回肠造口若干问题探讨[J/OL]. 中华结直肠疾病电子杂志, 2017, 06(05): 373-376.

Wei Pei, Xishan Wang. Discussion on some problems of protective defunctioning ileostomy in low anterior resection[J/OL]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2017, 06(05): 373-376.

吻合口漏是低位直肠癌术后常见和严重的并发症,回肠造瘘在预防吻合口漏中具有一定的价值。笔者对回肠造瘘的还纳时机、无法还纳的原因、还纳相关的并发症以及卫生经济学等方面的研究做相关综述,以期能为低位直肠癌预防性回肠造口的还纳提供借鉴经验。

Anastomotic leakage is a common and severe complication of low anterior resection of rectal cancer. The protective defunctioning ileostomy has a certain value in preventing anastomotic leakage. In this review, we aim to summarize the opportunity, complications, health economics for stoma reversal, and the causes of permanent stoma, providing guidance for clinical practice and future study.

[1]
Heald RJ, Husband EM, Ryall RD.The mesorectum in rectal cancer surgery--the clue to pelvic recurrence?[J]. Br J Surg, 1982, 69(10):613-616.
[2]
Kruschewski M, Rieger H, PohlenU, et al.Risk factors for clinical anastomotic leakage and postoperative mortality in elective surgery for rectal cancer[J]. Int J Colorectal Dis, 2007, 22(8):919-927.
[3]
Eriksen MT, Wibe A. Norwegian Rectal Cancer Group.Anastomotic leakage following routine mesorectal excision for rectal cancer in a national cohort of patients[J]. Colorectal Dis, 2005, 7(1):51-57.
[4]
Matthiessen P, Hallböök O, AnderssonM, et al.Risk factors for anastomotic leakage after anterior resection of the rectum[J]. Colorectal Dis, 2004, 6(6):462-469.
[5]
黄平.直肠癌保肛术式的评价[J]. 中华结直肠疾病电子杂志,2016, 5(3):204-209.
[6]
Law WL, Choi HK, Lee YM, et al.Anastomotic leakage is associated with poor long-term outcome in patients after curative colorectal resection for malignancy[J]. J Gastrointest Surg, 2007, 11(1):8-15.
[7]
吴红杰,邹小明.结直肠癌术后吻合口漏的诊治及预防[J]. 中华结直肠疾病电子杂志,2016, 5(2):171-174.
[8]
Gastinger I, Marusch F.Working Group'Colon/Rectum Carcinoma’Protective defunctioning stoma in low anterior resection for rectal carcinoma[J]. Br J Surg, 2005, 92(9):1137-1142.
[9]
Kuryba AJ, Scott NA, Hill J, et al.Determinants of stoma reversal in rectal cancer patients who had an anterior resection between 2009 and 2012 in the English National Health Service[J]. Colorectal Dis, 2016, 18(6):199-205.
[10]
Peeters KC, Tollenaar RA. Dutch Colorectal Cancer Group.Risk factors for anastomotic failure after total mesorectal excision of rectal cancer[J]. Br J Surg, 2005, 92(2):211-216.
[11]
王锡山.经自然腔道取标本手术-结直肠肿瘤[M]. 北京: 人民卫生出版社,2016.
[12]
denDulk M, Smit M.Dutch Colorectal Cancer Group.A multivariate analysis of limiting factors for stoma reversal in patients with rectal cancer entered into the total mesorectal excision (TME) trial: a retrospective study[J]. Lancet Oncol, 2007, 8(4):297-303.
[13]
Celerier B, Denost Q, Van GeluweB.The risk of definitive stoma formation at 10 years after low and ultralow anterior resection for rectal cancer[J]. Colorectal Dis, 2016, 18(1):59-66.
[14]
秦启元,黄斌杰,王磊.重视直肠癌低位前切除综合征的预防与治疗[J]. 中华结直肠疾病电子杂志,2016, 5(3):198-203.
[15]
Chow A, Tilney HS, ParaskevaP.The morbidity surrounding reversal of defunctioning ileostomies: a systematic review of 48 studies including 6, 107 cases[J]. Int J Colorectal Dis, 2009, 24(6):711-723.
[16]
Alves A, Panis Y, Lelong B. Randomized clinical trial of early versus delayed temporary stoma closure after proctectomy[J]. Br J Surg, 2008, 95(6):693-698.
[17]
Gooszen AW, Geelkerken RH, Hermans J.Quality of life with a temporary stoma: ileostomy vs. colostomy[J]. Dis Colon Rectum, 2000, 43(5):650-655.
[18]
Engel J, Kerr J, Schlesinger-Raab A.Quality of life in rectal cancer patients: a four-year prospective study[J]. Ann Surg, 2003, 238(2):203-213.
[19]
Williams LA, Sagar PM, Finan PJ, et al. The outcome of loopileostomy closure: a prospective study[J]. Colorectal Dis, 2008, 10(5):460-464.
[20]
Tilney HS, Sains PS, Lovegrove RE.Comparison of outcomes following ileostomy versus colostomy for defunctioning colorectal anastomoses[J]. World J Surg, 2007, 31(5):1142-1151.
[21]
David GG, Slavin JP, Willmott S, et al.Loop ileostomy following anterior resection: is it really temporary?[J]. Colorectal Dis, 2010, 12(5):428-432.
[22]
Salem L, Anaya DA, Roberts KE, Flum DR.Hartmann’s colectomy and reversal in diverticulitis: a population-level assessment[J]. Dis Colon Rectum, 2005, 48(5):988-995.
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