腹腔镜下全结直肠切除术治疗溃疡性结肠炎疗效观察

目的：观察腹腔镜下全结直肠切除术治疗溃疡性结肠炎的临床治疗效果。方法对采用腹腔镜下全结直肠切除术治疗的22例溃疡性结直肠炎患者的临床资料进行回顾性分析。结果该组22例患者均顺利完成手术，术中无转开腹病例或死亡病例；术后1～2 d即可下地活动，住院时间（12．5＆#177;2．8） d；无腹腔出血、肠粘连、吻合口瘘、盆腔感染等并发症发生，1例造瘘口早期感染，经换药和抗感染治疗好转。全部患者皆获随访，日常生活均可自理，痊愈后均恢复正常工作。结论腹腔镜下全结直肠切除术治疗溃疡性结肠炎近期手术效果良好，是一种安全可行的微创术式。

Effects of laparoscopic full colorectal resection on ulcerative colitis

Objective To explore clinical effect of laparoscopic colorectal resection treatment of ulcerative colitis.Methods The total laparoscopic colorectal resection in the treatment of 22 cases of ulcerative colitis were ret-rospectively reviewed the clinical data analysis .Results 22 patients were successfully operated , no conversion to open surgery cases or deaths;after 1 to 2 days to ambulation,length of hospital stay （12.5 ＆#177;2.8）d;without abdominal bleeding ,adhesions ,anastomotic leakage ,pelvic infections and other complications ,one case stoma early infection ,and anti-infective therapy by dressing better .All patients had been followed up ,daily life could take care of themselves , were to resume normal work after recovery .Conclusion Laparoscopic colorectal resection full UC recent surgery works well ,which is a safe and feasible minimally invasive surgical procedures .