结肠镜与腹腔镜联合治疗结肠类癌12例临床分析

Laparoscopic resection combined with colonoscopy in treatment of colon carcinoid tumors： a report of 12 cases

回顾性分析2003年1月至2009年11月我院收治的12例经结肠镜联合腹腔镜治疗的结肠类癌患者的临床资料.12例均经病理学检查确定诊断,肿瘤直径1.5～3.0 cm,内镜下多表现为典型的黏膜下肿物,腹腔镜探查难以发现;为明确切除范围、防止肿瘤复发,均行结肠镜定位、腹腔镜辅助下结肠类癌根治性手术.术后随访6个月～6年,1例术后30个月发生肝及淋巴结转移死亡.直径1.5～3.0 cm结肠类癌常有肌层浸润及淋巴结转移,结肠镜、腹腔镜联合治疗结肠类癌是安全、有效的方法。

Twelve cases of colon carcinoid were treated by laparoscopic resection combined with colonoscopy from January 2003 to November 2009 in the First Huai＇an Hospital. The tumors presented as submucosal lesions in colonoscopy with the size of 1.5 - 3.0 cm in diameter, which were difficult to be found by laparoscopy. All tumors were locally resected under laparoscopy with the assistance of colonoscopy successfully. Patients were followed up for 6 - 72 months, one case died 30 months after operation due to liver metastases. Colon carcinoid tumors with diameter from 1.5 - 3.0 cm often have muscular invasion and lymph node metastasis. The results indicate that laparoscopic resection combined with colonoscopy is a safe and effective procedure for colon carcinoid tumor.