腹腔镜、结肠镜联合治疗结直肠良恶性肿瘤的应用体会(附21例报告)

目的:探讨腹腔镜、纤维结肠镜联合治疗结直肠良恶性肿瘤的应用价值.方法:回顾分析为21例结直肠良恶性肿瘤患者应用多种双镜联合治疗方法的临床资料.结果:手术均顺利完成,无一例中转开腹.其中内镜辅助腹腔镜治疗12例,腹腔镜辅助内镜治疗4例,内镜腹腔镜同步切除2例,腹腔镜追加根治术3例.术后无吻合口漏、吻合口出血等并发症发生....

Application experience of laparoscopic and colonoscopic treatment of colorectal benign and malignant colorectal neoplasms:with a report of 21 cases

Objective:To evaluate the laparoscopic and colonoscopic treatment of benign and malignant colorectal neoplasms.Methods:The clinical data of 21 patients who suffered from colorectal benign or malignant neoplasms and underwent laproscopic and colonoscopic treatment were retrospectively analyzed.Results:All operations were successful,without conversion to laparotomy.The procedures included 12 cases of endoscopic-assisted laparoscopy,4 cases of laparoscopic-assisted endoscopy,2 cases of simultaneously endoscopic and laparoscopic excision,and 3 cases of laparoscopic supplemental radical resection.No postoperative complications occurred such as anastomotic leakage or anastomotic hemorrhage.During the mean follow-up of 18 months,no malignant tumor recurred.Conclusions:The application of dual endoscopic therapy extends the scope of single endoscopy,and increase the safety of surgery,significantly reduces the intraoperative and postoperative complication rates,significantly reduces the surgical trauma,is a reasonable treatment of benign and malignant colorectal neoplasms,and is worth generalization.