腹腔镜、结肠镜联合手术治疗结肠息肉25例报告

Laparoscopic combined with colonoscopic operation in treatment of patients with colonic polyps:with a report of 25 cases

目的：探讨腹腔镜、结肠镜联合治疗结肠息肉的安全性和可行性。方法：为25例无法用结肠镜切除的结肠息肉患者联合应用腹腔镜、结肠镜治疗。结果：25例患者均顺利完成手术，无中转开腹。手术时间40～150min，平均（70±15．62）min；术中出血10～40ml，平均（30±2．34）ml；肠功能恢复时间20～30h，平均（28±2．66）h；住院5～8d，平均（7±0．95）d。术后无并发症发生。随访8～14个月未见复发。结论：应用腹腔镜联合结肠镜治疗结肠镜无法切除的结肠息肉，提高了手术的安全性和彻底性。

Objective：To explore the safety and feasibility of laparoscopy combined with colonoscopy in treatment of colonic polyps. Methods：Twenty-five patients with colonoscopically unresectable colonic polyps were treated by laparoscopy combined with colonoscopy. Results：Twenty-five cases were operated successfully, without conversions to open surgery. The mean operative time was （70± 15.62）min （range 40-150min）, mean intraoperative blood loss was （30± 2.34）ml（ range 10-40ml）, mean recovery time of in- testinal function was （28 ±2.66）h （range 20-30h）, and mean hospital stay was （7 ±0.95 ）d（ range 5-8d）. In the follow-up of 8-14 months, no recurrence was found. Conclusions： Colonoscopy combined with laparoscopy is available to patients with colonoscopically unresectable colonic polyps, and improves operative safety and thoroughness.