结肠镜辅助下腹腔镜切除结直肠肿瘤(附23例报告)  

Clinical study on colonoscopic-assisted laparoscopy for resection of colorectal tumor(A report of 23 cases)

作　　者：赵景林[1] 李晓平[1] 马少锋[1] 

机构地区：[1]江门市中心医院普外科,广东江门529000

出　　处：《岭南现代临床外科》2012年第4期329-331,共3页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨术中结肠镜辅助下腹腔镜联合切除结直肠肿瘤的临床疗效。方法回顾性分析23例术中结肠镜辅助下腹腔镜切除结直肠肿瘤患者的临床资料,其中未累及浆膜的较早期或较小肿瘤,或肿瘤位于系膜侧,术中需要结肠镜定位的13例;内镜摘除息肉后病理提示癌变需行补救手术治疗的7例;内镜检肿瘤同时多原发,其中部分患者的远端肿瘤致肠腔狭窄,术前无法行全结肠镜检查,无法了解近端肠管的情况3例。结果本组手术无中转开放,术后无切口感染、吻合口漏、吻合口出血,无围手术期死亡,18例患者随访6月～60月,3例死于肿瘤转移,15例存活至今。结论对于术前无法行全结肠检查的肿瘤和小肿瘤,采用腹腔镜联合结肠镜进行检查、治疗能准确定位肿瘤,排除近端多发癌灶,是安全、有效、微创的手术方式。Objective To investigate the laparoseopy in treatment of eolorectal tumors. Methods therapeutic effects of colonoscopy-assisted The clinical data of 23 cases with colorectal tumor were analyzed retrospectively. Of 23 cases, 13 cases in early stage or smaller tumor sizes needed intra-operative colonoscopy localization,7 cases needed further radical operation after laparoscopic resection of the polyps which proved to be malignant. In another 3 cases, the colonoscope couldn＇t enter and probe the proximal intestine due to the distal stenosis caused by tumors. Results In this group, there was no conversion to open operation, no incision infection, no anastomotic leakage and anastomotic bleeding. Eighteen of 23 cases were followed up for 6 to 60 months, 3 cases died from tumor metastasis, 15 cases survive to the present day. Conclusions Laparoscopic-assisted colonscopy is a safe ,effective and minimally invasive way in treating the colorectal tumor.

关 键 词：腹腔镜 结肠镜 双镜联合 结直肠肿瘤 

分 类 号：R735.3[医药卫生—肿瘤]