腹腔镜；全结肠切除术；结肠肿瘤_

完全性腹腔镜全结肠切除治疗家族性腺瘤性息肉病(附8例报告)

http://www.100md.com 《腹腔镜外科杂志》 2006年第6期

腹腔镜；全结肠切除术；结肠肿瘤,,腹腔镜；全结肠切除术；结肠肿瘤,1资料与方法,2结果,3讨论,参考文献：

     【摘要】目的：探讨腹腔镜完全性全结肠切除术治疗家族性腺瘤性息肉病(familial adenomatous polyposis,FAP)的可行性与安全性。方法：应用腹腔镜全结肠切除术治疗家族性腺瘤性息肉病8例，总结手术过程及术后恢复情况。结果：8例手术均获成功，下腹部正中切口长度平均为5cm，手术时间260～340min，术中失血约80～350ml。术后2～3d排便排气，住院时间6～10d。随访2～3个月无近期并发症发生。结论：腹腔镜完全性全结肠切除治疗FAP创伤小、恢复快，安全、可行，但尚需进一步的手术病例积累。

    【关键词】腹腔镜；全结肠切除术；结肠肿瘤

    Completely laparoscopic total colectomy for familial adenomatous polyposis:with a report of 8 cases

    SUN Zuocheng,SUN Baoyou,XU Wenguang,et al.

    Dept.of General Surgery,the Weifang People's Hospital,Weifang 261041,China

    【Abstract】 Objective:To evaluate feasibility and safety of treating familial adenomatous polyposis(FAP)by completly laparoscopic total colectomy.Methods:The operative process and surgical outcomes of 8 FAP patients who underwent completly laparoscopic total colectomy were analyzed retrospectively.Results:All of the 8 patients received successful laparoscopic total colectomy.The average length of incision was 50cm,The operative time was 260340min,The blood loss ,flatus and hospitalization were 80350ml,23 days and 610 days respectively.The followup time of the 8 patients was 23 months and no complications were found.Conclusions:Completly laparoscopic total colectomy for FAP can be performed safely and effectively with minimal invasion,but further investigations are needed. ......

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