应用腹腔镜技术施行腹部联合手术(附120例报告)  

Combined procedures in laparoscopic surgery a report of 120 cases

作　　者：江道振[1] 仇明[1] 叶来英[1] 何雁飞[1] 邢继章[2] 李文[3] 赵耀忠[4] 潘铁文[5] 蒋京京[6] 刘彦[3] 徐丹枫[2] 石学银[6] 徐志飞[5] 

机构地区：[1]第二军医大学附属长征医院普通外科,上海200003 [2]第二军医大学附属长征医院泌尿科,上海200003 [3]第二军医大学附属长征医院妇产科,上海200003 [4]第二军医大学附属长征医院整形科,上海200003 [5]第二军医大学附属长征医院胸心外科,上海200003 [6]第二军医大学附属长征医院麻醉,上海200003

出　　处：《外科理论与实践》2004年第6期482-484,共3页Journal of Surgery Concepts & Practice

摘　　要：目的:总结120例应用腹腔镜技术施行腹部联合手术的治疗结果。方法:回顾性分析2001年10月至2004年6月间进行的120例应用腹腔镜技术的腹部联合手术,其中胆囊切除联合胃手术10例;胆囊与阑尾联合切除术7例;胆囊切除联合腹股沟斜疝修补术8例;胆囊切除联合肾囊肿开窗引流术20例,肝囊肿开窗引流术32例,肝肾囊肿开窗引流术6例,卵巢囊肿切除术3例;胆囊与子宫肌瘤联合切除9例;胆囊与脾脏联合切除术1例;胆囊切除联合直肠癌根治术5例(其中开腹行Dixon手术2例);腹腔镜下带血管蒂回肠段移植阴道成形术11例;食管下段癌经腹腔镜胃分离术3例;肠粘连松解联合阑尾切除术3例,子宫内膜异位症与阑尾联合切除术2例。结果:120例联合手术均获成功,无并发症。结论:将腹腔镜技术应用于腹部联合手术应正确选择手术适应证和手术顺序,方能安全、有效地处理两种或两种以上的腹部病变因减轻了本需开腹作联合手术的腹部创伤,具有明显的社会效益和经济效益。Objective To review combined procedures in laparoscopic surgery in 120 patients. Methods From October 2001 to June 2004, 120 patients were submitted to combined procedures by laparoscopic surgery. The procedures were laparoscopic cholecystectomy(LC)+gastric operation in 10 cases; LC+appendectomy in 7 cases; LC+herniorrhaphy in 8 cases; LC+decortication of renal cysts or/and liver cysts in 58 cases; LC+oophorocystectomy in 3cases; LC+resection of leiomyoma of uterus in 9 cases; LC+splenectomy in 1 case; LC+ Dixon's operation in 5 cases; pedicled small intestinal loap for colpoplasty in 11 cases; Laparoscopic gastrolysis+esophagectomy in 3 cases; appendectomy+lysis of intestinal adhesions in 3 cases and appendectomy resection of endometriosis in 2 cases. Results In all the 120 patients, laparoscopic procedures successfully without complications. Conclusions By laparoscopic surgery, two or more abdominal diseases could be treated effectively.

关 键 词：外科学 腹腔镜 联合手术 

分 类 号：R656[医药卫生—外科学]