腹腔镜联合结肠镜治疗结直肠肿瘤的临床应用

Application of Laparoscopy Combined with Colonoscopy in the Treatment of Colorectal Neoplasms

目的探讨术中腹腔镜联合结肠镜治疗结直肠肿瘤的临床应用价值。方法回顾性分析佛山市顺德区第一人民医院2010年1月至2012年12月期间41例术中行腹腔镜联合结肠镜治疗的结直肠肿瘤患者的临床资料。结果 41例均获得成功,无中转开腹。平均手术时间160min(100～240min),术后平均住院天数10.5d(7～14d)。20例行腹腔镜联合结肠镜下肠管楔形切除术或肠管部分切除术,21例行腹腔镜联合结肠镜下结直肠癌根治术。术后均无严重并发症,41例随访3～36个月,均无一例肿瘤复发、转移或再次手术。结论术中腹腔镜联合结肠镜治疗结直肠肿瘤是一种彻底根治肿瘤、安全可行的微创手术方式。

Objective To explore the clinical value of laparoscopy combined with colonoscopy in treating colorectal neoplasms. Methods The clinical data of 41 patients with colorectal neoplasms from 2010 to 2012 were analyzed retrospectively. Results All the cases were operated successfully, without conversion to open surgery. The average operative time was 160 min, and the average hospital stay was 10.5 d. 20 cases underwent endoscopy-assisted laparoscopic local resection or segment resection, and 21 cases underwent laparoscopic colorectal resection. 41 cases were followed up for 3 to 36 months, without recurrence, metastasis or reoperation. Conclusions Laparoscopy combined with colonoscopy is a safe, feasible, and minimally invasive surgery, which can eradicate colorectal neoplasms.