双镜联合技术治疗不完全梗阻性左半结肠癌的疗效分析  

Through Double Endoscope Treatment of Incompletely Obstructive Left-colon Carcinoma：Effect Analysis

作　　者：徐天生[1] 林水泉[1] 刘明胜[1] 高静[1] 徐建光[1] 

机构地区：[1]浙江省衢州市人民医院,浙江衢州324100

出　　处：《中国肛肠病杂志》2016年第2期16-17,共2页Chinese Journal of Coloproctology

摘　　要：为探讨双镜联合技术在不完全梗阻性左半结肠癌治疗中的应用价值，回顾分析2013年1月至2014年12月收治的先在内镜下植入金属支架，后在腹腔镜下行左半结肠癌根治术治疗的37例不完全梗阻性左半结肠癌患者资料。结果显示，37例患者术中发现肠道准备充分、肠道水肿控制良好，术后平均下床活动时间为2．7d，发生吻合口漏1例（2．7％），平均住院时间为17．5d（15～21d），术后无一例发生切口感染。结果表明，双镜联合技术治疗不完全梗阻性左半结肠癌创伤小，术后并发症少，吻合口漏发生率低，切口感染率低，住院时间短，是一种有效的方法，但其需要外科医师与内镜医师共同参与，且技术要求高。In order to explore the application value of double endoscope procedure in incompletely obstruc- tive left-colon carcinoma surgery, authors retrospectively analysed the data of 37 cases （2013-01--2014-12） who had received surgery for their incompletely obstructive left-colon carcinoma through double endoscope joint,i.e first via endoscope implant metallic stent,then under laparoscope perform radical surgery of leftcolon carcinoma.As results,in all of 37 cases during operation intestinal preparation being enough,edema being controlled better;after operation patient＇s average time for ambulation was 2.7 days;only 1 case suf- fered from stoma leakage （accounted for 2.7% ）;average hospitalization time was 17.5（15-21） days;no cases suffered from incision infection.Results show that above double endoscope combination used in the surgery for incomplete obstructive left-colon carcinoma can achieve ideal outcome.little trauma, less postoperative complication, low incidence of stoma leakage, low rate of wound infection,and short hospitalization time,but it should be that surgeons and endoscopic doctors make joint efforts,and meet the high-level requirement of this combination technology.

关 键 词：左半结肠癌 肠梗阻 双镜联合技术 疗效 

分 类 号：R735.35[医药卫生—肿瘤]