腹腔镜冲洗装置在左半结肠梗阻手术中的应用  

Clinical Application of Laparoscopic Washing Device in Left colonic Obstruction Surgery

作　　者：王梦桥[1] 余建贵[1] 黄河[1] 姚佐懿[1] 季超[1] 

机构地区：[1]成都市第五人民医院,四川成都611130

出　　处：《现代临床医学》2012年第5期351-352,共2页Journal of Modern Clinical Medicine

摘　　要：目的:探讨腹腔镜冲洗装置在左半结肠梗阻手术中行全结肠灌洗中的临床应用价值。方法:对81例左半结肠癌伴肠梗阻患者于术中应用腹腔镜冲洗装置经阑尾行全结肠灌洗后行Ⅰ期切除吻合术。结果:81例患者均完成Ⅰ期切除吻合,术后2例发生切口感染经换药后痊愈。无吻合口漏发生,无腹腔感染病例。结论:腹腔镜冲洗装置在全结肠灌洗中操作简便,肠道灌洗速度快,压力可控,灌洗彻底,时间短,术后并发症发生率低。Objective：To discuss the application value of laparoscopic washing device in Whole colon lavage 0f left colonic obstruction surgery.Methods：the 81 patients who suffered from colon cancer with acute ileus in recent years in our hospital were lavaged in whole colon with laparoscopic washing device before phase Ⅰ excision anastomosis.Results：81 patients were completed phase Ⅰexcision and anastomosis,2 cases suffered from incision infection after operation,but were cured after changing a medical prescription.No anastomotic leakage happened and no abdominal infection happened.Conclusions：Laparoscopic washing device is easy and simple to handle whole colon lavage,and its lavage speed is fast and the pressure can be controlled,lavage can be done completely,time is no long,and low incidence of postoperative complications.

关 键 词：全结肠灌洗 腹腔镜冲洗装置 Ⅰ期手术 左半结肠梗阻 

分 类 号：R656.9[医药卫生—外科学]