【摘要】 目的探讨腹腔镜内镜联合手术的临床价值。方法总结该科3年来对13例贲门失弛缓症、1例食管下段血管瘤、1例十二指肠腺瘤、2例乙状结肠息肉和1例乙状结肠癌实施腹腔镜内镜联合手术的临床经验。该组分别实施腹腔镜内镜联合食管下段贲门肌切开、胃底折叠(Dor)13例,其中1例同时实施肝左外叶血管瘤切除、胆囊切除;腹腔镜内镜联合食管下段血管瘤切除+食管裂孔疝修补、胃底折叠(Toupet)+胆囊切除+阑尾切除1例;腹腔镜内镜联合十二指肠腺瘤切除1例;腹腔镜内镜联合乙状结肠切除1例;腹腔镜内镜联合乙状结肠部分肠壁切除1例;腹腔镜内镜联合乙状结肠癌根治术1例。结果手术均获成功,未发生手术并发症,手术时间60～360min,术中出血5～40mL,术后8～24h下床活动,12～72h排气、拔胃管进流食,2～5d拔除引流管,6～14d出院。随诊1～36个月,病人术前症状消失,复查内镜肿物未见复发。结论腹腔镜内镜联合手术治疗消化道疾病具有定位准确、创伤小、痛苦轻、疗效好等突出优点。更多还原

【Abstract】 [Objective] To investigate the clinical value of combined laparoscopy and endoscopy.[Methods] During the past 3 years,18 patients were undergone laparoscopic and endoscopic operations.There were 13 cases of Heller-Dor for achalasia of cardia,1 among them had been undergone cholecystectomy and resection of hemangioma in left exterior lobe of liver in the meantime,1 resection of hemangioma for hemangioma in lower esophagus,1 resection of adenoma for Brunner adenoma and repair of hiatus hernia,toupet,cholecystectomy,appendectomy meanwhile,1 wall resections and 1 sigmoid colectomy for 2 cases of polyp of sigmoid colon respectively,and 1 radical operation for rectal cancer.[Results] The operations were accomplished with no complications.The operative time was 120～360 minutes,the operative blood loss was 5～40 mL.Patients could leave bed 8～12 hours after operation,released gas and gastric tube was withdrawn and took liquid food 12～72 hours after operations.Abdominal drainage tube was taken out 2～5 days postoperation.The patients were discharged 7～14 days after operations.The preoperative symptomes disappeared and no recurrence for 1～27 months postoperation follow-up.[Conclusions] Combined laparoscopy and endoscopy has advantages of precise localization,minimal invasion,less pain and fine curative effect.更多还原