摘要
目的:探讨腹腔镜完全性全结肠切除术治疗家族性腺瘤性息肉病(familial adenomatous polyposis,FAP)的可行性与安全性。方法:应用腹腔镜全结肠切除术治疗家族性腺瘤性息肉病8例,总结手术过程及术后恢复情况。结果:8例手术均获成功,下腹部正中切口长度平均为5cm,手术时间260~340min,术中失血约80~350ml。术后2~3d排便排气,住院时间6~10d。随访2~3个月无近期并发症发生。结论:腹腔镜完全性全结肠切除治疗FAP创伤小、恢复快,安全、可行,但尚需进一步的手术病例积累。
Objective :To evaluate feasibility and safety of treating famihal adenomatous polypesis (FAP)by eompletly laparoscopic total colectomy. Methods: The operative process and surgical outcomes of 8 FAP patients who underwent completly laparoscopic total colectomy were analyzed retrospectively. Results:All of the 8 patients received successful laparoscopic total colectomy. The average length of incision was 5.0cm,The operative time was 260-340min, The blood loss , flatus and hospitalization were 80-350ml,2-3 days and 6-10 days respectively. The follow-up time of the 8 patients was 2-3 months and no complications were found. Conclusious: Completly laparoscopic total colectomy for FAP can be performed safely and effectively with minimal invasion,but further investigations are needed.
出处
《腹腔镜外科杂志》
2006年第6期492-494,共3页
Journal of Laparoscopic Surgery