CAJ | 학술논문

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230~310 min,术中失血量80~210 mL,肛门排气时间为术后2~3 d,住院时间为12~14 d,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。
목적탐토복강경재전결장절제치료가족성선류성식육병( FAP)적응용개치。방법9례가족성선류성식육병환자응용복강경실시전결장절제술,대수술급술후회복정황진행총결분석。결과9례 FAP환자수술균획성공,무중전개복수술병례,수술시간230~310 min,술중실혈량80~210 mL,항문배기시간위술후2~3 d,주원시간위12~14 d,수방6~36개월,술후회복량호。결론복강경전결장절제치료가족성선류성식육병,수술창상소,술중출혈소,절구소미관,술후회복쾌,효과량호。
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.