| 腹腔镜手术治疗溃疡性结直肠炎 |
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| 引用本文： | 陈写,王德臣. 腹腔镜手术治疗溃疡性结直肠炎[J]. 中国普通外科杂志, 2008, 17(12): 8-118 |
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| 作者姓名： | 陈写 王德臣 |
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| 作者单位： | 甘肃省兰州市兰州石化总医院普通外科;北京大学第三医院普通外科; |
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| 摘 要： | 目的探讨腹腔镜手术治疗溃疡性结直肠炎的可行性和安全性。方法对腹腔镜手术治疗溃疡性结直肠炎5例患者的临床资料进行回顾性分析。结果5例均在腹腔镜下完成手术,其中4例行全结-直肠切除,回肠储袋-肛管吻合术(total proctocolectomy and ileal pouch-anal anastomosis,IPAA),1例行结肠次全-全直肠切除,盲肠-肛管吻合术。中位手术时间7.5(6.5～9)h,中位出血量250(150～400)mL,中位术后进半流食时间62(60～86)h,中位术后住院时间12(10～14)d。术后发生盆腔感染1例,粘连性肠梗阻1例。随访中位时间22(10～34)个月,大便平均每天6.5(4～10)次。日常生活自理,工作正常,无复发。结论腹腔镜下溃疡性结直肠炎手术,创伤小,恢复快,安全可靠,但尚需进一步积累临床资料。
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| 关 键 词： | 直肠结肠炎 溃疡性/外科学 腹腔镜外科手术 |
| 收稿时间： | 1900-01-01 |
| 修稿时间： | 1900-01-01 |
Laparoscopic surgery for ulcerative colitis |
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| CHEN Xie,WANG Dechen. Laparoscopic surgery for ulcerative colitis[J]. Chinese Journal of General Surgery, 2008, 17(12): 8-118 |
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| Authors: | CHEN Xie WANG Dechen |
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| Affiliation: | CHEN Xie1,WANG Dechen2(1.Department of General Surgery,Lanzhou Petrochemical General Hospital,Lanzhou 730060,China,2.Department of General Surgery,the Third Hospital,Peking University,Beijing 100083,China) |
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| Abstract: | Objective To investigate the feasibility and safety of laparoscopic surgical treatment of ulcerative colitis(UC).Methods The clinical data of 5 cases who underwent laparoscopic surgery for the treatment of ulcerative colitis were reviewed.Results All 5 cases successfully underwent laparoscopic surgery.Among them,4 had total proctocolectomy and ileal pouch-anastomosis(IPAA),and 1 had subtotal colectomy plus total proctectomy,and cecum-anal anastomosis.The median operating time was 7.5(6.5-9)h,the median bloo... |
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| Keywords: | Proctocolitis Ulcerative/surg Laparoscopic Surgical Procedure |
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