The Easier Construction Method of Terminal Stoma by Extraperitoneal Route Using Nelaton’s Catheter
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- To Kazuo
- Department of Digestive Surgery, Sasebo City General Hospital
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- Takeshita Hiroaki
- Department of Digestive Surgery, National Hospital Nagasaki Medical Center
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- Tominaga Tetsuro
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences
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- Arai Junichi
- Department of Digestive Surgery, Sasebo City General Hospital
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- Nonaka Takashi
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences
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- Kunizaki Masaki
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences
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- Hidaka Shigekazu
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences
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- Sawai Terumitsu
- Division of Nursing, Nagasaki University, School of Health Science, Faculty of Medicine
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- Nagayasu Takeshi
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences
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- Ishikawa Hiroshi
- Department of Digestive Surgery, Sasebo City General Hospital
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説明
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.
収録刊行物
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- Acta Medica Nagasakiensia
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Acta Medica Nagasakiensia 61 (1), 1-4, 2017
長崎大学医学部
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詳細情報 詳細情報について
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- CRID
- 1390001204675856896
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- NII論文ID
- 130006247108
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- NII書誌ID
- AA00508430
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- HANDLE
- 10069/37075
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- ISSN
- 00016055
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- 本文言語コード
- en
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- 資料種別
- departmental bulletin paper
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- データソース種別
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- JaLC
- IRDB
- CiNii Articles
- OpenAIRE
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- 抄録ライセンスフラグ
- 使用不可