摘要
目的:探讨电子肠镜定位下施行腹腔镜辅助结肠息肉切除的手术方法及注意事项。方法:回顾分析10例电子肠镜定位下施行腹腔镜辅助结肠息肉切除患者的临床资料,对手术方法及注意事项进行探讨。结果:本组10例患者均痊愈出院。平均手术时间为(75.00±19.58)min;平均术中出血为(37.00±9.49)ml;平均首次肛门排气时间为(38.40±15.02)h;平均住院时间为(8.20±0.79)d。随访6～12个月未见复发。定位点与息肉基底部所在的肠管横断面距离最短0cm,最长6cm。镜下仅1例隐约有息肉影,其余9例均看不到息肉影。定位点有6例偏向息肉近侧,2例偏向远侧,2例在准确位置上。结论:电子肠镜定位腹腔镜辅助结肠息肉切除是安全可行的方法;但一般不能看到明确的息肉影,仅靠光感定位及器械触碰与肠镜观察配合定位,术中适当调整肠镜光强度和镜头角度并注意双镜配合,可获较准确的定位效果。
Objective： To explore the surgical methods and precautions of the laparoscopic-assisted operation in colonic polyps with electronic colonoscopy positioning. Methods： To eviewed the clinical data of 10 cases of the laparoscopic-assisted operation in colonic polyps with electronic colonoscopy positioning. Explored the surgical methods and precautions. Results： In this group, 10 patients were cured and discharged from hospital. The average operative time was （75.00± 19.58） min; The average intraoperative blood loss was （37.00 ± 9.49） ml; The average time of first flatus was （38.40± 15.02） h; The mean hospital stay was （8.20 ± 0.79） d. In the follow-up of 6-12 months, no recurrence was found. The shortest distance from positioning point to the base of colonic polyps was 0 cm, and the longest distance was 6 cm. The faint shadow of polyps was seen only 1 case, andthe shadow of polyps were not seen in the remaining 9 cases. There were 6 cases anchor at the proximal side of polyp, there were 2 cases anchor at the proximal side of polyp, and 2 cases at the exact location. Conclusion： Laparoscopic-assisted operation in colonic polyps with electronic colonoscopy positioning is safe and feasible; but the clear and definite shadow of polyps are not seen general, the location is rely on light perception or touch with the apparatus and to work in coordination with colonoscopy, intraoperative enteroscopy light intensity and adjust the camera angle and note with double mirror effect may be more accurate positioning.
出处
《中国当代医药》
2011年第21期34-35,共2页
China Modern Medicine
关键词
结肠息肉
电子肠镜
定位
腹腔镜
Colonic polyps
Colonoscopy
Location
Laparoscopy
