腹腔镜全结肠切除治疗家族性腺瘤性息肉病9例报道  

Laparoscopic total colectomy for familial adenomatous polyposis with a report of 9 cases

作　　者：甄四虎[1] 侯会池[1] 王少文[1] 李伟[1] 刘伟[1] 

机构地区：[1]石家庄白求恩国际和平医院普通外科,河北石家庄050082

出　　处：《局解手术学杂志》2013年第6期629-630,共2页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的探讨腹腔镜在全结肠切除治疗家族性腺瘤性息肉病（FAP）的应用价值。方法9例家族性腺瘤性息肉病患者应用腹腔镜实施全结肠切除术，对手术及术后恢复情况进行总结分析。结果9例FAP患者手术均获成功，无中转开腹手术病例，手术时间230～310min，术中失血量80～210mL，肛门排气时间为术后2～3d，住院时间为12～14d，随访6～36个月，术后恢复良好。结论腹腔镜全结肠切除治疗家族性腺瘤性息肉病，手术创伤小，术中出血少，切口小美观，术后恢复快，效果良好。Objective To explore the feasibility and safety of laparoscopic total colectomy for familial adenomatous polyposis. Methods All 9 patients with familial adenomatous polyposis received laparoscopic total colectomy were analyzed. Results Laparoscopic total colecto-my was successfully performed in all the 9 patients. The operative time, blood loss ,flatus and hospitalization were respectively 230 - 310 min, 80 - 210 mL,2 - 3 days and 12 - 14 days. All patients were followed up for 6 - 36 months. The postoperative recovery was good. Conclusion Total colectomy can be successfully perfomed with laparoscopic assisted in treating familial adenomatous poliposis. It is a feasible and safe surgical procedure and can significantly improve the quality life.

关 键 词：腹腔镜 全结肠切除 家族性腺瘤性息肉病 

分 类 号：R735.35[医药卫生—肿瘤]