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目的探讨腹腔镜全结肠切除术在家族性腺瘤性息肉病(FAP)中的应用价值。方法回顾性分析我院2008年1月至2009年10月期间收治的行腹腔镜全结肠切除术的4例FAP患者的临床资料,对手术安全性和术后恢复情况进行分析。结果 4例患者均顺利行腹腔镜全结肠切除术,无中转开腹,无手术并发症及死亡。腹部切口长6.0cm,手术时间300～380min(平均330min),术中出血量90～250ml(平均160ml)。术后2～3d肛门开始排气,术后住院时间7～11d(平均9d)出院。出院后大便稀薄,8～12次/d,给予易蒙停治疗后缓解。随访2～22个月(平均14个月),无近期并发症发生。结论腹腔镜全结肠切除术治疗FAP安全、有效,近期效果良好。
Objective To investigate the value of laparoscopic total colon resection in familial adenomatous polyposis (FAP). Methods The clinical data of 4 FAP patients undergoing laparoscopic total colectomy from January 2008 to October 2009 in our hospital were retrospectively analyzed. The safety and postoperative recovery of the patients were analyzed. Results All 4 patients underwent laparoscopic total colon resection without conversion to open laparotomy without complications and death. Abdominal incision length 6.0cm, operation time 300 ~ 380min (average 330min), blood loss 90 ~ 250ml (average 160ml). 2 ~ 3d after operation, the anus began to exhaust, and the postoperative hospital stay was 7 to 11 days (mean 9 days). Thin stool after discharge, 8 to 12 times / d, given easy to stop after treatment to ease. Followed up for 2 to 22 months (average 14 months), no recent complications occurred. Conclusions Laparoscopic total colectomy for the treatment of FAP is safe, effective and has good short-term results.