CAJ | 학술논문

目的：探讨腹腔镜全结肠切除术治疗家族性腺瘤性结肠息肉病的安全性、可行性。方法2007年8月～2012年7月对6例家族性腺瘤性息肉病患者行腹腔镜全结肠切除术，术后定期复诊肠镜同时行内镜下直肠息肉电灼切除。结果6例手术均获成功，手术时间(382±42)min，出血量(180±65)mL，肠功能恢复时间(72±21)h，住院时间12～17 d，无并发症发生。随访1～5年，排便3～8次/d，无息肉癌变发生。结论腹腔镜全结肠切除术治疗家族性腺瘤性结肠息肉病安全、可行。
목적：탐토복강경전결장절제술치료가족성선류성결장식육병적안전성、가행성。방법2007년8월～2012년7월대6례가족성선류성식육병환자행복강경전결장절제술，술후정기복진장경동시행내경하직장식육전작절제。결과6례수술균획성공，수술시간(382±42)min，출혈량(180±65)mL，장공능회복시간(72±21)h，주원시간12～17 d，무병발증발생。수방1～5년，배편3～8차/d，무식육암변발생。결론복강경전결장절제술치료가족성선류성결장식육병안전、가행。
Objective To explore the safety and feasibility of laparoscopic total colectomy in the treatment of familial adenomatous polyposis. Methods A total of 6 cases with familial adenomatous polyposis from August 2007 to July 2012 undergoing laparoscopic total colectomy . To have regular colonoscopy after the surgery, simultaneously to do endoscopic electrocautery resection of rectal polyps. Results 6 cases of laparoscopic total colectomy were successful, operative time (382 ±42) min, blood loss (180±65) mL, postoperative intestinal function recovery time (72±21)h, hospitalization time 12-17 d. No complications occurred.6 cases were followed up 1 to 5 years, defecate 3-8 times/d no polyps occur. Conclusion Laparoscopic total colectomy for familial adenomatous polyposis coli is safe and feasible.