腹腔镜辅助全结直肠切除加回肠造口术治疗六例溃疡性结肠炎

Laparoscopic-assisted total proctocolectomy with ileostomy for six cases of ulcerative colitis

目的探讨腹腔镜辅助下全结直肠切除加回肠造口术治疗溃疡性结肠炎的可行性与安全性。方法回顾性分析2009年3月至2010年10月行腹腔镜辅助全结直肠切除加回肠造口术的6例溃疡性结肠炎患者的临床资料。结果 6例患者手术均获成功,手术时间210～420min,术中出血量70～250ml,术后腹壁切口感染1例。6例患者均获随诊,1例患者于术后1个月出现回肠造口脱垂,重新行回肠造口术,余5例恢复良好。结论腹腔镜辅助全结直肠切除加回肠造口术治疗溃疡性结肠炎是一种可行、安全、有效的微创治疗方式。

Objective To study the feasibility and safety of treating ulcerative colitis （ UC ） by laparoscopic proctocolectomy with ileostomy. Methods The clinical data of 6 UC cases underwent laparoscopic proctocolectomy with ileostomy were analyzed retrospectively from March 2009 to October 2010. Results All of the 6 cases were underwent laparoscopic proctocolectomy with ileostomy. The operative times ranged from 210 to 420 min. There was no intraoperative complication occurred. One patient got incision infection after operation. Conclusions This case series demonstrates that laparoscopic proctocolectomy with ileostomy for ulocerative colitis short-term recovery and cosmetic benefits.