Аннотация:
Aim To describe the technique of a modified extraperitoneal retrotransversalis end colostomy as part of a laparoscopic abdominoperineal excision (APR). Method The colostomy site is preoperatively chosen and used intra-operatively for a trocar. After the rectum has been mobilized the descending colon is freed. The peritoneal margin is gently grasped and the parietal peritoneum and extraperitoneal together with the transversalis fascia are separated from the transverse abdominal muscle fibres upwards for 3–4 cm aiming at the trocar site to form the extraperitoneal retrotransversalis canal. The stoma site trocar is partially withdrawn and its head is turned laterally until its tip is positioned in the layer between the abdominal wall muscles and underlying transversalis and extraperitoneal fascia together with the parietal peritoneum. The CO 2 source can be attached so that the gas helps to separate the layers, after which the colostomy trephine is formed at the site of the trocar, the gr
Ключевые слова:
Colostomy; Extraperitoneal; Laparoscopic; Parastomal hernia
carbon dioxide; abdominal wall; Article; case study; clinical article; clinical effectiveness; colostomy; computer assisted tomography; descending colon; feasibility study; follow up; human; intraoperative period; laparoscopic surgery; modified extraperitoneal retrotransversalis end colostomy; operation duration; parastomal hernia; patient safety; peritoneum; preoperative period; priority journal; rectum abdominoperineal resection; rectus abdominis muscle; retrospective study; surgical approach; surgical technique; survival time; abdominal wall musculature; adverse event; colostomy; fasciotomy; hernia; laparoscopy; procedures; rectum resection; surgery; tissue injury; Abdominal Muscles; Colostomy; Fasciotomy; Hernia; Humans; Laparoscopy; Proctectomy; Prolapse; Retrospective Studies
Tulina I. A. Inna Andreevna 1984-
Kitsenko Yu. E. Yurij Evgenyevich 1989-
Ubushiev M. N. Mergen Naranovich 1995-
Efetov S. K. Sergej Konstantinovich 1985-
Wexner S. D.
Tsar`kov P. V. Petr Vladimirovich 1957-
Тулина И. А. Инна Андреевна 1984-
Киценко Ю. Е. Юрий Евгеньевич 1989-
Убушиев М. Н. Мерген Наранович 1995-
Ефетов С. К. Сергей Константинович 1985-
Wехнер С. Д.
Царьков П. В. Петр Владимирович 1957-
Laparoscopic technique of modified extraperitoneal (Retrotransversalis) end colostomy for abdominoperineal excision
Текст визуальный непосредственный
Colorectal Disease
John Wiley & Sons, Inc.
Vol.20, Issue8 P. O235-O238
2018
Статья
Colostomy Extraperitoneal Laparoscopic Parastomal hernia
carbon dioxide abdominal wall Article case study clinical article clinical effectiveness colostomy computer assisted tomography descending colon feasibility study follow up human intraoperative period laparoscopic surgery modified extraperitoneal retrotransversalis end colostomy operation duration parastomal hernia patient safety peritoneum preoperative period priority journal rectum abdominoperineal resection rectus abdominis muscle retrospective study surgical approach surgical technique survival time abdominal wall musculature adverse event colostomy fasciotomy hernia laparoscopy procedures rectum resection surgery tissue injury Abdominal Muscles Colostomy Fasciotomy Hernia Humans Laparoscopy Proctectomy Prolapse Retrospective Studies
Aim To describe the technique of a modified extraperitoneal retrotransversalis end colostomy as part of a laparoscopic abdominoperineal excision (APR). Method The colostomy site is preoperatively chosen and used intra-operatively for a trocar. After the rectum has been mobilized the descending colon is freed. The peritoneal margin is gently grasped and the parietal peritoneum and extraperitoneal together with the transversalis fascia are separated from the transverse abdominal muscle fibres upwards for 3–4 cm aiming at the trocar site to form the extraperitoneal retrotransversalis canal. The stoma site trocar is partially withdrawn and its head is turned laterally until its tip is positioned in the layer between the abdominal wall muscles and underlying transversalis and extraperitoneal fascia together with the parietal peritoneum. The CO 2 source can be attached so that the gas helps to separate the layers, after which the colostomy trephine is formed at the site of the trocar, the gr