腹腔镜、结肠镜联合治疗结肠息肉8例报告

目的：探讨腹腔镜、结肠镜联合治疗结肠息肉的可行性和安全性。方法：8例结肠镜无法切除的结肠息肉或结肠镜术中出现并发症的病例联合应用腹腔镜、结肠镜,其中1例穿孔者行腹腔镜修补术;1例术后大出血者在结肠镜指引下,用腹腔镜对病灶进行缝扎止血;1例乙状结肠广基息肉在结肠镜切除病灶后,用腹腔镜缝合修补肠管;5例切除病变肠段。结果：8例患者均顺利完成手术,无中转开腹,术后无并发症发生。结论：应用腹腔镜、结肠镜联合手术完成结肠镜无法治疗的结肠息肉,提高了手术的安全性和彻底性。

Laparoscopy combined with colonscopy is available to patients with colonic polyps:with a report of 8 cases

Objective:To explore the safety and feasibility of laparoscopy combined with colonscopy available to patients with colonic polyps.Methods:Eight cases with endoscopically unresectable colonic polyps or complications were performed by laparoscopy combined with colonoscopy.Of them,a colonic perforation occurred during therapeutic colonscopy;a copious bleeding underwent post-therapeutic colonoscopy;a large polyps with thick stalk of sigmoid colon undergoing polypectomy;5 cases underwent laparoscopic segmental colon resection.Results:Eight cases were performed by laparoscopy successfully.There were no complications or conversions to open surgery.Conclusions:Colonoscopy combined with laparoscopy available to patients with endoscopically unresectable colonic polyps is safe and feasible.