紀要論文 The Easier Construction Method of Terminal Stoma by Extraperitoneal Route Using Nelaton’s Catheter

To, Kazuo  ,  Takeshita, Hiroaki  ,  Tominaga, Tetsuro  ,  Arai, Junichi  ,  Nonaka, Takashi  ,  Kunizaki, Masaki  ,  Hidaka, Shigekazu  ,  Sawai, Terumitsu  ,  Nagayasu, Takeshi  ,  Ishikawa, Hiroshi

61 ( 1 )  , pp.1 - 4 , 2017-01 , Nagasaki University School of Medicine
ISSN:00016055
内容記述
Introduction: Abdominoperineal resection is performed using laparoscopic techniques at many institutions. Few institutions construct the terminal stoma using the extraperitoneal route, mainly because of the difficulty of this approach. However, the extraperitoneal route for terminal stoma might be associated with a lower rate of complications when compared with the transperitoneal route. We construct the terminal stoma via the extraperitoneal route using Nelaton’s catheter. Materials and Surgical Technique: We call this technique the “Nelaton’s Catheter Hauling Technique”, which involves: 1) dissection of the extraperitoneal space using a intestinal spatula, 2) insertion of Nelaton’s catheter into the abdominal space via the extraperitoneal route, 3) capture of the tip of Nelaton’s catheter and pull it to the outside, 4) tying of the threads of the stump of the colon and the tip of Nelaton’s catheter, and 5) pulling up on Nelaton’s catheter to move the stump of the colon outside via the extraperitoneal route. Discussion: We believe that the use of this technique will contribute to the reduction of stoma-related complications.
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http://naosite.lb.nagasaki-u.ac.jp/dspace/bitstream/10069/37075/1/ActMed61_1.pdf

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