The application of defunctioning stomas after low anterior resection of rectal cancer
The application of defunctioning stomas after low anterior resection of rectal cancer
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DOI：
10.1007/s00595-018-1736-6
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发表时间：
2018-11
期刊：
影响因子：
2.5
通讯作者：
H. Yao;Y. An;Zhongtao Zhang
中科院分区：
文献类型：
--
作者：
H. Yao;Y. An;Zhongtao Zhang
结直肠外科医生在吻合不满意后经常使用功能性造口。构建功能性造口的主要目的是防止吻合口瘘或减轻其不利后果。然而，功能性造口的构建不是免费的，并且与对患者的不利影响相关。造口相关的并发症可以在不同的阶段发展，并可能损害患者的生活质量。此外，每四到六个功能失调的造口中就有一个变成不闭合的造口。由于没有明确的适应症，建立一个功能失调的造口，外科医生必须仔细权衡其利益对他们的不利影响。因此，精确选择应接受功能性造口创建的患者非常重要，并且需要一种预防吻合口漏的替代方法。
Defunctioning stomas are frequently used by colorectal surgeons after unsatisfactory anastomosis. The primary purpose of constructing a defunctioning stoma is to prevent an anastomotic leakage or to alleviate the detrimental consequences of it. However, the construction of defunctioning stomas is not free and is associated with adverse impacts on the patient. Stoma-related complications can develop in different stages and can impair a patient’s quality of life. Furthermore, one in every four to six defunctioning stomas turns into a non-closure stoma. Since no definite indications for the creation of a defunctioning stoma are available, surgeons have to carefully weigh their benefits against their adverse effects. Thus, the precise selection of patients who should undergo the creation of a defunctioning stoma is of great importance, and an alternative method for preventing anastomotic leakage is needed.