摘要
目的探讨腹腔镜辅助下小肠部分切除术的临床应用价值。方法回顾性分析63例腹腔镜辅助下小肠部分切除术患者的病例资料。结果所有手术均于腹腔镜辅助下顺利完成,术中无并发症、死亡和中转开腹病例。术后1例出现胃潴留,2例出现不完全性小肠梗阻,1例出现肺部感染,保守治疗后均好转。随访1～52个月,1例间质瘤患者出现局部复发伴肝脏转移,3例恶性肿瘤患者因远处转移而死亡。结论腹腔镜辅助下小肠部分切除术创伤小,操作简便,治疗效果满意,且能提高小肠疾病诊断的准确性,临床应用前景广阔。
Objective To investigate the clinical application of laparoscopy-assisted partial small bowel resection. Methods The clinical data of 63 cases with laparoscopy-assisted partial small bowel resection were analyzed retrospectively. Results All cases successfully received laparoscopy-assisted partial small bowel resection. There were no complications, no death and no conversions during operation. Postoperative complications occurred in 4 patients, including one case of gastric retention, one case of pulmonary infection and two cases of incomplete intestinal obstruction, and all were cured by conservative treatment. During the follow up for 1 to 52 months after operation, one case of gastrointestinal stromal tumor experienced local recurrence and hepatic metastasis, and three patients died of metastasis of malignant tumor. Conclusion Laparoscopy-assisted partial small bowel resection is a safe and minimally invasive technique with a favourable application prospect due to its profound therapeutic effect and improved diagnosis rate in small bowel diseases.
出处
《上海交通大学学报（医学版）》
CAS
CSCD
北大核心
2009年第1期92-94,共3页
Journal of Shanghai Jiao tong University:Medical Science
关键词
腹腔镜
小肠疾病
laparoscopy
small bowel disease
