双镜联合治疗早期结直肠肿瘤

The application of combined laparoscopic-colonoscopy resection in early colorectal tumor

目的 探讨腹腔镜结肠镜联合应用治疗早期结直肠肿瘤的安全性及临床价值.方法 回顾性分析联合应用腹腔镜、结肠镜手术治疗的26例早期结直肠肿瘤患者,观察术后并发症、手术时间、手术出血量、肠功能恢复时间、住院时间.结果 26例患者均顺利完成手术.手术时间60～ 162（93.7 ±22.5）min,手术出血量15 ～ 120（35.9±24.2） ml,术后肠功能恢复时间为48 ～ 120（73.2±14.5）h,住院时间5～ 13（7.4± 1.8）d.术后无吻合口漏、肠穿孔、肠梗阻等并发症.随访6～12个月,复查肠镜未见肿瘤残留与复发.结论 腹腔镜与内镜联合治疗早期结直肠肿瘤,具有准确定位、切除范围合理、创伤小、恢复快等优势,具有良好的临床应用价值.

Objective To explore the safety and clinical effect of combined laparoscopic-colonoscopy resection of colorectal tumor.Methods A total of 26 patients with early colorectal tumor was treated by combined laparoscopic-colonoscopy resection.To observe the postoperative complications,the mean operative time,mean intraoperative blood loss,mean time of gastrointestinal function recovery,and mean postoperative hospital stay were analyzed.Results All the 26 cases were operated successfully.The mean operative time was 60 ～ 162 （93.7 ± 22.5）min.The mean intraoperative blood loss was 15 ～ 120 （35.9 ± 24.2） ml.The mean time of gastrointestinal function recovery was 48 ～ 120（73.2 ± 14.5）h.The mean postoperative hospital stay was 5 ～ 13 （7.4 ± 1.8） d.No postoperative complications occurred,such as stomach leak,enterobrosis and intestinal obstruction.Follow up 6 ～ 12 months,there were no tumor residue and recurrence.Conclusions The combined laparoscopic-colonoscopy resection was located exactly,reasonable excision scope,minimally invasive,quick recovery and other advantages.It was worth of clinical application.