腹腔镜辅助与开腹全结肠切除治疗家族性腺瘤性息肉病的临床治疗对比.docxVIP

腹腔镜辅助与开腹全结肠切除治疗家族性腺瘤性息肉病的临床治疗对比 冯杰鑫王希平 (福建医科大学附属漳州市医院 福建 漳州363000) 【摘要】冃的：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。文屮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(Plt;0.01)}o结论：腹腔镜辅 助全结肠切除术安全可行，近期疗效良好。 【关键词】腹腔镜手术;全结肠切除术;家族性腺瘤性息肉病 【中图分类号】R454 【文献标识码】A 【文章编号】2095-1752 (2015) 11-0047-03 Laparoscopic assisted total colon resection with laparotomy the clinical curative effect of treatment of familial adenomatous polyposis Feng Jiexin, Wang Xiping. Zhangzhou Affiliated Hospital of Fujian Medical University, Fujian Provinee, Zhangzhou 363000, China [Abstract] Objective With 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. Methods A 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 Ion ger tha n laparotomy group (P = 0.035). Bleedi ng 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 lt; 0.01)}. Conclusi