摘要
目的:探讨内镜与腹腔镜(双镜)联合治疗消化道肿瘤的应用价值。方法:回顾分析双镜联合治疗15例消化道良恶性肿瘤患者的临床资料。结果:15例患者均施行内镜定位加腹腔镜手术,其中病变楔形切除术8例(53.33%),肠段切除术5例(33.33%),腹腔镜根治术2例(13.33%)。15例中胃间质瘤3例;结肠绒毛状腺瘤5例,其中1例有灶性恶变;管状腺瘤5例;结肠癌2例。术后切口感染1例,无其他并发症发生。术后住院7～14 d。术后随访3～12个月,腺瘤恶变及结肠癌术后无一例复发。结论:腹腔镜内镜联合应用拓宽了内镜的应用领域,使内镜和腹腔镜的微创优势得到充分发挥,为消化道较大良性病变及较小恶性肿瘤提供了新的治疗方式。
Objective：To investigate the appication value of endoscopy combined with laparoscopy in the treatment of gastrointestinal tumor.Methods：The clinical data of 15 patients with gastrointestinal tumor who underwent combined treatment with endoscopy and laparoscopy were analyzed retrospectively.Results：Among them,8 cases（53.33%） of wedge resection,5 cases（33.33%） of segment resection and 2 cases（13.33%） of laparoscopic radical resection were preformed.There were 3 cases of gastric,5 villous adenoma among which 1 case was canceration,5 tubular adenoma and 2 cases of colon cancer.The incision infection occurred in 1 case,no other complications was observed.The postoperative stay was 7-14 day.During the follow-up（3 to 12 months）,no recurrence was detected in the cases of adenoma canceration and colon cancer.Conclusions：Combination of laparoscopy and endoscopy extends the use of them,which makes the best use of mimi-invasion and provide a new idea to treat the large benign lesions and small malignant lesions of gastrointestinal tract.
出处
《腹腔镜外科杂志》
2011年第12期913-915,共3页
Journal of Laparoscopic Surgery
