摘要
目的:探讨腹腔镜乙状结肠代阴道成形术的方法、可行性及其效果。方法:腹腔镜下闭合切割器切断乙状结肠近端,经会阴与尿道、膀胱与直肠之间造穴,将降结肠远侧断端牵拉出造穴口(或腹壁切口),将钉钻置入断端,荷包缝合固定后送回腹腔。闭合切割器切断乙状结肠远端,经肛门入吻合器行肠吻合;将游离的乙状结肠远端牵至造穴口,完成阴道成形。结果:2例手术均获成功,无并发症发生,成形的阴道长度和宽度充分,性生活满意。结论:腹腔镜乙状结肠代阴道成形术是完全可行的,较开腹手术的效果更理想。
Objective： To explore the procedure , feasibility and effect of laparoseopie sigmoid eolpopoiesis. Methods： Two eases underwent laparoscopie sigmoid eolpopoiesis. Under laparoseope, dissected the proximal portion of sigmoid colon with endoscopic linear cutter. After the space between the bladder and the rectum was detached , the distal cut end of descending colon reached the porineum （ or abdominal incision） . The cut end was placed with the anvil and made a purse - string suture, then it was put back into the peritoneal cavity. Dissected the distal portion of sigmoid colon with endoscopic linear cutter. The intraluminal curved stapler was put in from the anus to anastomose the stump of the rectum and the descending colon. The isolated sigmoid transplant reached the porineum and was sutured to the vaginal entrance. Results： The operations for two eases were sueeessfuUy completed and no complications were observed. The neovagina was adequate in length and diameter. Moreover, two eases had pleasant sexual intereourses. Conclusion： The laparoseopie sigmoid eolpopoiesis is viable and more ideal than the traditional laparotomy.
出处
《中国妇幼保健》
CAS
北大核心
2006年第3期423-424,共2页
Maternal and Child Health Care of China
关键词
腹腔镜
乙状结肠移植
阴道手术
Laparoscopy
Sigmoid- transplantation
Vaginal surgery
