腹腔镜治疗结直肠Dieulafoy病(附3例报告)

Clinical analysis of 3 cases with laparoscopic surgery to treat the Dieulafoy disease

目的:探讨特殊部位Dieulafoy病微创治疗的优势。方法:回顾分析1999年6月至2007年7月我院为3例结直肠Dieulafoy病患者的诊疗情况,均由纤维结肠镜明确诊断并协助定位,用腹腔镜管形吻合器行部分肠管切除吻合术。结果:结肠镜复查全部病例均一期根治,无肠漏等并发症发生,术后均无明显疼痛,早期活动并恢复饮食,无再次出血。术后6～26个月,吻合口愈合良好,无残留病灶。结论:腹腔镜手术不仅可以通过微创技术达到根治目的,而且避免了内镜止血后再次出血和肠管穿孔等并发症的发生。

Objective：To explore the clinical superiority of minimally invasive treatment for Dieulafoy disease. Methods：The clinical data of 3 patients with Dieulafoy disease were analyzed retrospectively. Results：From Jun. 1999 to Jul. 2007,3 patients with Dieulafoy disease were diagnosed by fiber colonoseopy and received part colectomy by laparoscopy. All cases were radical cured,without intestinal leakage and postoperative pain. Reviewed by fiber colonoseopy postopration 6 to 26 months, there were no focus remain and the stoma healing well. Conclusions：Laparoscopic surgery can radical cure Dieulafoy disease without rebleeding and inteasinal perforation complications.