[1]胥子玮 王庆源 封益飞 王勇 黄远健 张冬生 张川 傅赞 孙跃明**.腹腔镜辅助全结直肠切除、回肠J型储袋与肛管吻合治疗家族性腺瘤性息肉病[J].中国微创外科杂志,2018,18(11):1034-1036.
　Xu Ziwei,Wang Qingyuan,Feng Yifei,et al.Laparoscopic Assisted Total Colorectal Resection and Ileal Jpouch Anal Anastomosis in the Treatment of Familial Adenomatous Polyposis[J].Chinese Journal of Minimally Invasive Surgery,2018,18(11):1034-1036.
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腹腔镜辅助全结直肠切除、回肠J型储袋与肛管吻合治疗家族性腺瘤性息肉病()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
18
期数:
2018年11期
页码:
1034-1036
栏目:
经验交流
出版日期:
2018-11-20

文章信息/Info

Title:
Laparoscopic Assisted Total Colorectal Resection and Ileal Jpouch Anal Anastomosis in the Treatment of Familial Adenomatous Polyposis
作者:
胥子玮 王庆源 封益飞 王勇 黄远健 张冬生 张川 傅赞 孙跃明**
（南京医科大学第一附属医院结直肠外科，南京210002）
Author(s):
Xu Ziwei;  Wang Qingyuan;  Feng Yifei;  et al.
Department of Colorectal Surgery, First Affiliated Hospital of Nanjing Medical University, Nanjing 210002, China
关键词:
全结直肠切除; 腹腔镜; 家族性腺瘤性息肉病; 回肠J型储袋
Keywords:
Total colorectal resection; Laparoscopy; Familial adenomatous polyposis; Ileal Jpouch
文献标志码:
B
摘要:
目的探讨腹腔镜辅助全结直肠切除、回肠J型储袋与肛管吻合治疗家族性腺瘤性息肉病（familial adenomatous polyposis，FAP）的疗效。方法2013年1月~2017年12月对15例FAP施行全结直肠切除、回肠J型储袋与肛管吻合术。先行腔镜下全结直肠的游离，离断直肠，然后将回肠断端构建J形储袋，经肛门放置直线管状吻合器，拉下回肠，完成贮袋肛管吻合。结果15例均顺利完成腹腔镜辅助下全结直肠切除术、回肠J型储袋与肛管吻合。手术时间（112.4±323）min，术后住院时间（9.9±2.5）d。术后病理4例息肉恶变。术后1例出现盆腔感染，穿刺引流后好转。15例平均随访28个月(3~60个月)，术后随访1年时，大便次数(3.3±1.4)次/d，基本成形，无肿瘤复发及死亡。结论腹腔镜辅助全结直肠切除、回肠J型储袋与肛管吻合是治疗FAP的有效手术方式。
Abstract:
ObjectiveTo investigate the efficacy of laparoscopic assisted total colorectal resection and ileal Jpouch anal anastomosis in the treatment of familial adenomatous polyposis (FAP).MethodsThe clinical and followup data of 15 patients with FAP who underwent total colorectal resection and ileal Jpouch anal anastomosis in our hospital from January 2013 to December 2017 were analyzed retrospectively. During the operation, total colorectal dissection was performed by using laparoscopy. Then the Jshaped storage bag was constructed at the end of the ileum, and a straight tubular anastomosis device was placed through the anus to complete pouch anal anastomosis.ResultsAll the 15 patients received successful laparoscopic assisted total colorectal resection and ileal Jpouch anal anastomosis. The operation time was (1124±323) min, and the postoperative hospital stay was (9.9±2.5) d. Pathological results showed 4 cases of malignant lesions. Postoperative pelvic infection occurred in 1 case, which was relieved after puncture and drainage. The average followup time was 28 months (range, 3-60 months). After one year of followup, the average number of stools was (3.3±1.4) times/d, which were basically formed. No recurrence or death was seen.ConclusionLaparoscopic assisted total colorectal resection and ileal Jpouch anal anastomosis is an effective treatment for FAP.

参考文献/References:

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备注/Memo

备注/Memo:
＊基金项目：国家自然科学基金（81400835）**通讯作者，Email：njmusunyueming@163.com
更新日期/Last Update: 2019-03-01