Kết quả sớm của phẫu thuật nội soi điều trị thoát vị cạnh hậu môn nhân tạo theo kĩ thuật Sugarbaker

Tóm tắt

Đặt vấn đề: Mục tiêu của nghiên cứu nhằm khảo sát kết quả sớm của phẫu thuật nội soi (PTNS) điều trị thoát vị cạnh hậu môn nhân tạo (HMNT) theo kĩ thuật Sugarbaker.

Phương pháp nghiên cứu: Tiến cứu, mô tả hàng loạt ca. Có 15 trường hợp được PTNS điều trị thoát vị cạnh hậu môn nhân tạo theo kĩ thuật Sugarbaker từ 01/2018 đến 04/2020.

Kết quả: Trong 15 người bệnh có 11 nam, 4 nữ, tuổi trung bình 73,3 ± 2,2. Tỉ lệ biến chứng chung 19,6%, trong đó nhiễm trùng vùng mổ và nhiễm trùng mesh 0%, tắc ruột 13%, suy đa tạng do nhồi máu cơ tim 6,6%, không có trường hợp nào chuyển mổ mở. Tỉ lệ tái phát 0% sau thời gian theo dõi trung bình 9 tháng.

Kết luận: PTNS điều trị thoát vị cạnh hậu môn nhân tạo theo kĩ thuật Sugarbaker là phẫu thuật ít xâm lấn, an toàn, có tỉ lệ thoát vị tái phát thấp.

Từ khóa: Thoát vị cạnh hậu môn nhân tạo, phẫu thuật nội soi, Sugarbaker.

Abstract

Introduction: The study aim was to evaluate the safety and feasibility of laparoscopic Sugarbaker repair in patients with parastomal hernia.

Materials and Methods: A prospective study was conducted between 1/2018 and 4/2020; 15 patients underwent laparoscopic Sugarbaker repair of parastomal hernia were enrolled.

Results: Among the patients, there were 15 patients (11 males, 4 females), median age was 73.3±2.2. The incidence of complications was 19.6%, in which obstruction requiring reoperation occurred in 6.6%, multiorgan failure secondary to myocardial infarction occurred in 6.6%. There was no converted to laparotomy. There was no recurrence during the follow-up period (average 9 months).

Conclusion: Laparoscopic Sugarbaker repair of parastomal hernia is minimally invasive, safe and feasible surgery with low recurrence rate.

Key word: Parastomal hernia, laparoscopy, Sugarbaker repair.

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