腹腔镜、结肠镜联合治疗结直肠良恶性肿瘤的应用体会(附21例报告)  

Application experience of laparoscopic and colonoscopic treatment of colorectal benign and malignant colorectal neoplasms:with a report of 21 cases

作　　者：蒋志龙[1] 彭志洋[1] 程志荣[1] 徐建峰[1] 周斌[1] 常来[1] 

机构地区：[1]泰兴市人民医院,江苏泰兴225400

出　　处：《腹腔镜外科杂志》2011年第5期362-364,共3页Journal of Laparoscopic Surgery

摘　　要：目的:探讨腹腔镜、纤维结肠镜联合治疗结直肠良恶性肿瘤的应用价值。方法:回顾分析为21例结直肠良恶性肿瘤患者应用多种双镜联合治疗方法的临床资料。结果:手术均顺利完成,无一例中转开腹。其中内镜辅助腹腔镜治疗12例,腹腔镜辅助内镜治疗4例,内镜腹腔镜同步切除2例,腹腔镜追加根治术3例。术后无吻合口漏、吻合口出血等并发症发生。术后平均随访18个月,恶性肿瘤患者中无一例复发。结论:双镜的联合应用扩展了单镜治疗的适用范围,增加了手术安全性,明显降低了并发症的发生率,大大减少了手术创伤,是治疗结直肠良恶性肿瘤的合理方法,值得推广。Objective：To evaluate the laparoscopic and colonoscopic treatment of benign and malignant colorectal neoplasms.Methods：The clinical data of 21 patients who suffered from colorectal benign or malignant neoplasms and underwent laproscopic and colonoscopic treatment were retrospectively analyzed.Results：All operations were successful,without conversion to laparotomy.The procedures included 12 cases of endoscopic-assisted laparoscopy,4 cases of laparoscopic-assisted endoscopy,2 cases of simultaneously endoscopic and laparoscopic excision,and 3 cases of laparoscopic supplemental radical resection.No postoperative complications occurred such as anastomotic leakage or anastomotic hemorrhage.During the mean follow-up of 18 months,no malignant tumor recurred.Conclusions：The application of dual endoscopic therapy extends the scope of single endoscopy,and increase the safety of surgery,significantly reduces the intraoperative and postoperative complication rates,significantly reduces the surgical trauma,is a reasonable treatment of benign and malignant colorectal neoplasms,and is worth generalization.

关 键 词：结直肠肿瘤 结肠镜检查 腹腔镜检查 病例报告 

分 类 号：R735.37[医药卫生—肿瘤]