腹腔镜联合结肠镜治疗广基底结肠息肉的经验介绍

【摘要】 目的 探讨分析腹腔镜联合结肠镜治疗广基底结肠息肉的可行性及临床疗效。方法〓对22例结肠镜切除失败的广基底结肠息肉患者行腹腔镜联合结肠镜治疗,其中腹腔镜辅助结肠镜下息肉切除10例,结肠镜辅助腹腔镜下肠部分切除8例,肠段切除4例。结果〓22例均顺利完成手术,无中转开腹及并发症发生。手术时间平均101.6 min(55~182 min),术中出血平均26.1 mL(10~60 mL),肠功能恢复时间平均30.7 h(20~50 h),住院时间平均7 d(5~10 d)。22例术后随访平均16.9个月(5~30个月),未见复发。结论〓腹腔镜联合结肠镜治疗结肠镜切除失败的广基底结肠息肉,疗效满意,安全可行。

Clinical study on combination of laparoscopy and colonoscopy in treating sessile colonic polyps

【Abstract】〓Objective〓To discuss the feasibility and clinical effect on combination of laparoscopy and colonoscopy in treating sessile colonic polyps. Methods〓Twenty-two cases of sessile colonic polyps patients, which failed to be resected by colonoscopy, received the treatment of combination of laparoscopy and colonoscopy. Of these patients, 10 cases with laparoscopic-assisted colonoscopic polypectomy, 8 cases with colonoscopy assisted laparoscopic partial colon resection; the other 4 cases underwent colonoscopy assisted laparoscopic segmental colon resection. Results〓All the 22 cases were successfully operated without complications or conversion to open surgery. The mean operation time was 101.6 minutes (55-182 minutes), the mean blood loss was 26.1 ml (10-60 ml), the mean recovery time for gastrointestinal function was 30.7 hours (20-50 hours), and mean hospital stay was 7 days (5-10 days). The patients were followed up for a mean of 16.9 months (5-30months). No recurrence was found. Conclusion〓The treatment of combined laparoscopy and colonoscopy is effective and safe for patients with colonoscopically unrespectable sessile colonic polyps.