摘要
目的:探讨应用胃镜在腹腔镜治疗上消化道疾病中的临床应用价值.方法:回顾性分析2006-03/2010-03天津市南开医院行胃镜辅助腹腔镜治疗上消化道良性疾病32例患者的临床资料,对相关资料进行分析总结.结果:32例患者均在胃镜辅助下顺利找到病灶并成功施行相应术式,无中转开腹,无出血穿孔等并发症.手术时间40-98(平均59)min,出血约20-100mL,术后2-4d恢复流质饮食,平均住院时间5-7d.该组病例术后随访6-24mo,未有复发病例.结论:胃镜在腹腔镜治疗上消化道良性疾病中能够使病灶定位清楚、病灶切除彻底而提高了此类手术的成功率,减少并发症,保证手术安全性,该方法值得推广应用.
AIM:To evaluate the value of gastroscopy in laparoscopic treatment of benign diseases of the upper gastrointestinal tract. METHODS:The clinical data for 32 patients who underwent combined gastroscopy and laparoscopy for treating benign diseases of the upper gastrointestinal tract at Nankai Hospital from March 2006 to March 2010 were analyzed retrospectively. RESULTS:Lesions were accurately located and surgeries were successfully performed by combined gastroscopy and laparoscopy in all 32 patients. No conversion to laparotomy or severe complications,such as bleeding and perforation,occurred. The duration of surgery ranged from 40 to 98 min (average 59 min),intraoperative bleeding volume from approximately 20 to 100 mL,postoperative consumption of liquid diet from day 2 to 4,and average hospital stay from 5 to 7 d. No recurrence occurred during 6-24 mo. CONCLUSION:Combined gastroscopy and laparoscopy allow to accurately locate lesions,improve surgical success rate,and reduce surgical complications in patients with benign diseases of the upper gastrointestinal tract.
出处
《世界华人消化杂志》
CAS
北大核心
2010年第35期3800-3803,共4页
World Chinese Journal of Digestology
关键词
上消化道
良性疾病
腹腔镜
胃镜
Upper gastrointestinal tract
Benign disease
Laparoscopy
Gastroscopy