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由于腹腔皮层创伤导致的广泛结肠切除后,实现结肠连续性的肠道操作:两个病例报告
Barak Raguan1,2, Fahim Awaad1,3, Ephraim Katz1,3
1Gray Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Journal of trauma and injury
|November 19, 2025
概括
在腹腔皮层创伤后恢复肠道连续性可能很困难. 逆拉透和德洛耶斯手术有助于结直肠外科医生进行无张力解剖.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 手术技巧 手术技巧
- 创伤外科 手术 创伤外科
背景情况:
- 由于肠道长度有限,在经历了广泛的腹腔骨外伤后恢复大肠连续性是具有挑战性的.
- 在骨盆中用短直肠茎实现无张力解剖是特别困难的.
研究的目的:
- 描述逆拉透方法和德洛耶尔程序的实用性.
- 为了促进大肠关闭,由于腹腔皮层创伤导致大肠切除.
主要方法:
- 介绍了两起使用逆拉透和德洛耶尔程序的案例.
- 这两种机动都用于恢复肠道连续性,并促进结肠口关闭.
- 在这两种情况下,都进行了保护环结节切除术.
主要成果:
- 这两种机动都是可行的,并成功地恢复了肠道连续性,并进行了无张力解剖.
- 手术后的对比清洗液没有显示出解静脉泄漏的证据.
- 患者恢复了肠道功能和良好的肠道控制,在结节管关闭后.
结论:
- 在创伤患者中,在进行广泛的结肠和直肠切除后,肠道操纵机动是可行和有效的,用于无张力解剖.
- 结肠直肠外科医生应该熟悉这些技术,以管理创伤患者的关闭.
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