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完全性腹腔镜全结肠切除治疗家族性腺瘤性息肉病(附8例报告) 被引量:4

Completely laparoscopic total colectomy for familial adenomatous polyposis:with a report of 8 cases
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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
关键词 腹腔镜 全结肠切除术 结肠肿瘤 Laparoscopy Total colectomy Colon tumor
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参考文献3

  • 1Jacobs M,Verdeja JC,Goldstein HS.Minimally invasive colon resection(laparoscopic colectomy)[J].Surg Laparosc Endosc,1991,1(3):144-150. 被引量:1
  • 2Marcello PW,Milsom JW,Wong SK,et al.Laparoscopic total colectomy for acute colitis:a case-control study[J].Dis Colon Rectum,2001,44(10):1441-1445. 被引量:1
  • 3Matthews BD,Pratt BL,Backus CL,et al.Effectiveness of the ultra-sonic coagulating shears,LigaSure vessel sealer and surgical clip application in biliary surgery:a comparative analysis[J].J Am Surg,2001,67(9):901-906. 被引量:1

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