腹腔镜全/次结肠切除术的临床应用24例  

Laparoscopic total/subtotal colectomy for colorectal diseases:an analysis of 24 cases

作　　者：李栋[1] 张奇兵[2] 王权[1] 王超[1] 孙东辉[1] 所剑[1] 

机构地区：[1]吉林大学白求恩第一医院胃结直肠外科,吉林省长春市130021 [2]大庆油田总医院普外科,黑龙江省大庆市163001

出　　处：《世界华人消化杂志》2010年第36期3926-3929,共4页World Chinese Journal of Digestology

摘　　要：目的:探讨腹腔镜全/次结肠切除术治疗家族性息肉病(familial adenomatous polyposis,FAP)、溃疡性结肠炎(ulcerative colitis,UC)、结肠慢传输型便秘(slow transit constipation,STC)的临床经验.方法:回顾性分析林大学白求恩第一医院2008-03/2010-0524例腹腔镜结肠全/次切除术的临床资料,其中FAP4例,UC7例,STC13例.FAP和UC患者行腹腔镜全结肠切除术,STC行腹腔镜结肠次全切除术.结果:24例手术均获得成功;手术时间约280min±60min,术中失血约220mL±80mL;患者术后1-2d可离床活动;肠道功能恢复1-3d;未出现腹腔出血、吻合口出血、肺部感染、腹腔感染、切口感染、吻合口瘘、肠梗阻等并发症.所有患者较术前生活质量明显改善,无复发情况.结论:腹腔镜全/次结肠切除术作为安全、有效的手术方式,是FAP、UC、STC等疾病微创手术治疗的良好选择,值得推广.AIM：To evaluate the eff icacy and safety of laparoscopic total/subtotal colectomy in the management of familial adenomatous polyposis（FAP）,ulcerative colitis（UC） and slow transit constipation（STC）.METHODS：The clinical data for 24 patients（including four FAP patients,seven UC patients,and 13 STC patients） who underwent laparoscopic total/subtotal colectomy at our hospital were analyzed retrospectively.FAP patients and UC patients were treated by laparoscopic total colectomy,while STC patients received laparoscopic subtotal colectomy.RESULTS：The surgery was successful in all the 24 patients.Mean operative duration was 280 min ± 60 min,and mean intraoperative blood loss was 220 mL ± 80 mL.The function of the stomach and intestine was restored in 1-3 d.Complications,such as hemorrhage,infections,intestinal fistula and intestinal obstruction,did not occur.Improved quality of life was achieved in all the patients,and no recurrence occurred.CONCLUSION：Laparoscopic total/subtotal colectomy is effective and safe in the management of colorectal diseases.

关 键 词：腹腔镜手术 结肠切除术 结直肠疾病 

分 类 号：R656.9[医药卫生—外科学]