腹腔镜下早期修补结肠镜检后肠穿孔  

Application of initial laparoscopic repair for iatrogenic colon perforation after colonoscopy

作　　者：王俊峰[1] 洪书剑[1] 左学良[1] 梁林虎[1] 汪进国[1] 黄鹤[1] 瞿章[1] 陈贤军[1] 武健[1] 吴佩[1] 

机构地区：[1]皖南医学院附属弋矶山医院胃肠外科,安徽芜湖241001

出　　处：《皖南医学院学报》2015年第4期344-347,共4页Journal of Wannan Medical College

摘　　要：目的：探讨腹腔镜下早期修补在结肠镜检后结肠穿孔中的临床应用。方法：回顾性分析2011年5月-2014年10月我院行纤维结肠镜诊疗中致结肠穿孔并早期行腹腔镜下单纯修补8例患者临床资料。结果：所有病例均在早期腹腔镜下完成单纯结肠穿孔修补术，其中4例为治疗性穿孔，4例为诊断性穿孔，均于12h内行腹腔镜下结肠穿孔修补术。手术时间40～100min，术后48-72h恢复肠道功能。术后均无肠瘘、腹腔内感染、肠梗阻等并发症出现。均术后1周左右出院。结论：结肠镜检后肠穿孔早期行腹腔镜下修补术安全、可靠。手术创伤轻微、时间短、并发症少，术后恢复快。Objective：To assess the clinical value of applying initial repair of colon perforation after eolonoscopy using laparoscopic technique. Methods： Retrospective analysis was performed in 8 patients received initial laparoscopic repair of iatrogenic colon perforation caused by colonoscopy between May 2011 and October 2014. Results ： Initial laparoscopic repair of the perforation was successfully completed within 24 h for the 8 patients, in whom 4 were perforation caused by treatment, and another 4 by endoscopic diagnosis. The operative time was from 50 to 100 min, and restoration of the gastrointestinal function occurred in 48 to 72 h after operation. No postoperative complications occurred,including intestinal fistula,intra-abdominal infection or intestinal obstruction. All patients were discharged in about one week after operation. Conclusion ： Initial laparoscopic repair of the perforation after colonoscopy can be sound and safe, and lead to minimal invasion, shorter operative time,fewer complications and early recovery.

关 键 词：结肠镜 穿孔 腹腔镜 早期修补 

分 类 号：R656.6[医药卫生—外科学]