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目的探讨腹腔镜腹会阴联合切除术(Miles术)中经腹膜外隧道式平坦型结肠造口的操作方法及其疗效。方法对36例低位直肠癌和肛管癌患者行腹腔镜辅助Miles术时施行腹膜外隧道式平坦型乙状结肠造口术后情况进行回顾性分析。结果 36例患者术后造口情况良好,未发现有造口血运障碍、内陷、坏死,未发现有造口旁疝、腹内疝。结论腹腔镜Miles术经腹膜外隧道式平坦型结肠造口操作简单,并发症发生率低,术后排便功能恢复好,值得推广。
Objective To investigate the operation and efficacy of peritoneal tunneling type colostomy in laparoscopic abdominal perineum resection (Miles operation). Methods Thirty-six patients with low rectal cancer and anal canal cancer underwent retroperitoneal tunnel-shaped flat sigmoid colostomy underwent laparoscopic assisted Miles procedure retrospectively. Results 36 cases of postoperative ostomy in good condition, there was no obstruction of ostomy, retraction, necrosis, no ostomy hernia, abdominal hernia. Conclusions Laparoscopic Miles operation is simple with extraperitoneal tunnel type flat colostomy, with low complication rate and good postoperative defecation recovery. It is worth popularizing.