手辅助腹腔镜手术治疗炎症性肠病的优势和操作要点

炎症性肠病（IBD）患者由于其特殊的疾病特征，腹腔病变情况较复杂，传统腹腔镜手术操作难度较大。手辅助腹腔镜手术（HALS）由于兼具开腹手术的可直视下操作、手术时间短和腹腔镜手术出血少、术后恢复快的优势，在复杂性IBD治疗中的作用日益凸显。对施行HALS的IBD患者的选择和手术操作值得外科医生的重视。HALS在国外的一些诊疗中心已有开展，在我国尚未有报导，开展相关的研究非常必要。

The advantage and operation point of hand assisted laparoscopic surgery in the treatment of inflammatory bowel disease

Inflammatory bowel disease (IBD) could lead to the complexity of intra-abdominal pathology, which might largely increase the difficulty of the laparoscopic surgery. Hand assisted laparoscopic surgery (HALS) has been considered to be of great value in the treatment of IBD patients with the advantage of clear field of vision and shorter operative time as laparotomy and less blood loss and shorter postoperative recovery time as laparoscopic surgery. Careful attention would need to be paid to the patient selection and surgical procedure in the IBD patients undergoing HALS. The usage of HALS in the treatment of IBD patients has been reported in some centers in the western countries, but none in our country. Therefore, it is especially important to perform the related research.