【作者】 陈晓飞； 周继勇； 马伟华； 陈新民； 曹泮悬；

【Author】 Cheng Xiao fei;Zhou Ji yong;Ma Wei hua;Coloproctological Department of Hai ning TCM Hospital;

【机构】 海宁市中医院肛肠外科；

【摘要】 目的:探讨腹腔镜联合结肠镜手术治疗结肠腺瘤息肉的有效性及安全性。方法:29例单独无法在结肠镜下切除的结肠腺瘤息肉应用腹腔镜联合结肠镜手术治疗。结果:29例患者均顺利手术完成,无中转开腹手术,手术时间40-100 min,平均90 min;术中出血10-50ml,平均40ml;肠功能恢复时间12-28h,平均25h;住院4~8d,平均6d。随访3~6个月均未见复发,无术后并发症。结论:应用腹腔镜联合结肠镜治疗结肠镜无法切除的结肠腺瘤息肉,可以提高手术的安全性和彻底性。更多还原

【Abstract】 Objective:To explore the safety and feasibility of laparoscopy combined with colonoseopy in treatment of colonic polyps.Methods:29 patients colonoscopically unresectable colonic polyps were treated by laparoscopy combined with colonoscopy.Results:The treatment group.The average operative time for laparorolectomy was90(40-100) minutes,respectively.The average blood loss was 40(10-50)ml.The average time for gastrointestinal functionrecovery was 25(12-28h) hours;The average hospitalization day was 6(4-8)days.In the follow-up of3-6months,no recurrence was found..Conclusion:Colonoscopy combined with laparoscopy is available to patients with colonoscopically unresectable colonic polyps,and improves operative safety and thoroughness.更多还原