腹腔镜、结肠镜联合治疗结肠息肉8例报告  

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

作　　者：林志东[1] 姜杰[1] 陈锦程[1] 宋学[1] 杜凤藻[1] 耿学斯[1] 索标[1] 

机构地区：[1]厦门市中医院,福建厦门361009

出　　处：《腹腔镜外科杂志》2008年第3期215-216,共2页Journal of Laparoscopic Surgery

摘　　要：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。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.

关 键 词：结肠息肉 腹腔镜检查 结肠镜检查 

分 类 号：R656.9[医药卫生—外科学]