医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2015年
11期
47-48,49
,共3页
腹腔镜手术%全结肠切除术%家族性腺瘤性息肉病
腹腔鏡手術%全結腸切除術%傢族性腺瘤性息肉病
복강경수술%전결장절제술%가족성선류성식육병
Laparoscopic surgery%Whole colon resection%Familial adenomatous polyposis
目的：随着结直肠腔镜外科的快速发展，腹腔镜辅助全结肠切除术已应用于治疗家族性腺瘤性息肉病。文中对比腹腔镜辅助与开腹全结肠切除术的临床疗效，探讨腹腔镜辅助全结肠切除术的安全性和可行性。方法：回顾性分析12例家族性腺瘤性息肉病行全结肠切除术的临床资料，分为开腹手术组(7例)和腹腔镜手术组(5例)，观察手术安全性、术后恢复情况以及短期随访结果。结果：12例患者顺利完成手术，腹腔镜组平均手术时324.33（190-510）min ,显著长于开腹组(P=0.035)；平均术中出血量175.73（100-300）ml，肛门排气时间为术后1.33 d，住院时间19.12d，略短于开腹组，尚未达统计学差异；平均手术切口长度腹腔镜组为4.33cm,显著短于开腹组22.23 cm(P<0.01)}。结论：腹腔镜辅助全结肠切除术安全可行，近期疗效良好。
目的：隨著結直腸腔鏡外科的快速髮展，腹腔鏡輔助全結腸切除術已應用于治療傢族性腺瘤性息肉病。文中對比腹腔鏡輔助與開腹全結腸切除術的臨床療效，探討腹腔鏡輔助全結腸切除術的安全性和可行性。方法：迴顧性分析12例傢族性腺瘤性息肉病行全結腸切除術的臨床資料，分為開腹手術組(7例)和腹腔鏡手術組(5例)，觀察手術安全性、術後恢複情況以及短期隨訪結果。結果：12例患者順利完成手術，腹腔鏡組平均手術時324.33（190-510）min ,顯著長于開腹組(P=0.035)；平均術中齣血量175.73（100-300）ml，肛門排氣時間為術後1.33 d，住院時間19.12d，略短于開腹組，尚未達統計學差異；平均手術切口長度腹腔鏡組為4.33cm,顯著短于開腹組22.23 cm(P<0.01)}。結論：腹腔鏡輔助全結腸切除術安全可行，近期療效良好。
목적：수착결직장강경외과적쾌속발전，복강경보조전결장절제술이응용우치료가족성선류성식육병。문중대비복강경보조여개복전결장절제술적림상료효，탐토복강경보조전결장절제술적안전성화가행성。방법：회고성분석12례가족성선류성식육병행전결장절제술적림상자료，분위개복수술조(7례)화복강경수술조(5례)，관찰수술안전성、술후회복정황이급단기수방결과。결과：12례환자순리완성수술，복강경조평균수술시324.33（190-510）min ,현저장우개복조(P=0.035)；평균술중출혈량175.73（100-300）ml，항문배기시간위술후1.33 d，주원시간19.12d，략단우개복조，상미체통계학차이；평균수술절구장도복강경조위4.33cm,현저단우개복조22.23 cm(P<0.01)}。결론：복강경보조전결장절제술안전가행，근기료효량호。
ObjectiveWith the rapid development of colorectal surgery of cavity mirrors, laparoscopic assisted total colectomy has been applied in the treatment of familial adenomatous polyposis. In this paper, we compared the clinical efficacy of laparoscopic assisted total colectomy with laparotomy, discusses the feasibility and safety of laparosc -opic assisted total colectomy.MethodsA retrospective analysis of 12 patients with familial adenomatous polyposis whole colon resection clinical data, can be divided into open surgery group (7 cases) and laparoscopic surgery group (5 cases), observe the operation safety, postoperative recovery and short-term follow-up results.Results 12 patients were successfully completed surgery, laparoscopic group average 324.33 min (190-510), when the operation is significantly longer than laparotomy group (P= 0.035). Bleeding amount of average 175.73 ml (100-300), anal exhaust time is 1.33 d, postoperative hospital stay 19.12 d, slightly shorter than laparotomy group, has yet to reach statistically; The average length of incision laparoscopic group for 4. 33 cm, 22.23 cm shorter than laparotomy group significantly (P < 0.01)}.Conclusion The safety of laparoscopic assisted total colectomy is feasible, the recent curative effect is good.
