CAJ | 학술논문

　　目的探讨腹腔镜直肠癌根治术后少见疝发生的原因、预防和诊治。方法对我科1999年7月至2012年12月发生的10例围手术期少见疝的临床资料进行回顾性分析。结果6例主操作孔疝，2例乙状结肠造口旁沟疝，1例盆底腹膜裂孔疝，1例脐外侧襞裂孔疝，患者均需行急诊手术，有2例发生小肠坏死需行肠管部分切除术，1例出现切口感染。结论主操作孔、盆底腹膜裂孔、脐外侧襞裂孔和左结肠旁沟间隙是腹腔镜直肠癌手术后留下的人为缺损，可能发生腹壁疝或腹内疝，一旦发生应尽早手术以避免肠坏死的吧发生。
　　목적탐토복강경직장암근치술후소견산발생적원인、예방화진치。방법대아과1999년7월지2012년12월발생적10례위수술기소견산적림상자료진행회고성분석。결과6례주조작공산，2례을상결장조구방구산，1례분저복막렬공산，1례제외측벽렬공산，환자균수행급진수술，유2례발생소장배사수행장관부분절제술，1례출현절구감염。결론주조작공、분저복막렬공、제외측벽렬공화좌결장방구간극시복강경직장암수술후류하적인위결손，가능발생복벽산혹복내산，일단발생응진조수술이피면장배사적파발생。
Objective To approach the causes, prevention methods, diagnosis and treatment of rare hernia after laparoscopic radical resection for rectal carcinoma. Methods 10 cases of herniation after laparoscopic radical resection for rectal carcinoma were retrospectively analyzed in our department. Results 6 case of 12-mm trocar hernia, 2 cases of postsigmoidostomic hernia, 1 case of pelvi-peritoneal hernia and 1 case of lateral umbilical fold hernia were observed. All patients were performed emergency operation,2 cases were performed small bowel resection because of intestine necrosis, 1 case had incisional infection after second operation. Conclusion 12-mm trocar site, pelvic peritoneal hole, lateral umbilical fold hole and left paracolic sulci gap are the artificial defects after laparoscopic radical resection for rectal carcinoma, abdominal and intraperitoneal hernias are rare postoperative complication, emergency operation is necessary in order to avoiding intestine necrosis.