完全性腹腔镜全结肠切除治疗家族性腺瘤性息肉病(附8例报告)

目的:探讨腹腔镜完全性全结肠切除术治疗家族性腺瘤性息肉病(fam ilial adenom atous polyposis,FAP)的可行性与安全性。方法:应用腹腔镜全结肠切除术治疗家族性腺瘤性息肉病8例,总结手术过程及术后恢复情况。结果:8例手术均获成功,下腹部正中切口长度平均为5 cm,手术时间260~340m in,术中失血约80~350m l。术后2~3d排便排气,住院时间6~10d。随访2~3个月无近期并发症发生。结论:腹腔镜完全性全结肠切除治疗FAP创伤小、恢复快,安全、可行,但尚需进一步的手术病例积累。

Completely laparoscopic total colectomy for familial adenomatous polyposis:with a report of 8 cases

Objective:To evaluate feasibility and safety of treating familial adenomatous polyposis(FAP)by completly laparoscopic total colectomy.Methods:The operative process and surgical outcomes of 8 FAP patients who underwent completly laparoscopic total colectomy were analyzed retrospectively.Results:All of the 8 patients received successful laparoscopic total colectomy.The average length of incision was 5.0cm,The operative time was 260-340min,The blood loss,flatus and hospitalization were 80-350ml,2-3 days and 6-10 days respectively.The follow-up time of the 8 patients was 2-3 months and no complications were found.Conclusions:Completly laparoscopic total colectomy for FAP can be performed safely and effectively with minimal invasion,but further investigations are needed.