微创医学

目的探讨腹腔镜辅助全结直肠切除对家族性腺瘤性息肉病（FAP）患者术后肠功能的影响。方法回顾性分析62例接受结直肠切除术治疗的FAP患者的临床资料，其中接受腹腔镜辅助全结直肠切除术的34例患者作为观察组，接受开腹手术的28例患者作为对照组。比较两组手术情况、术后恢复与并发症发生情况。结果两组手术时间比较，差异无统计学意义（P＞0.05）；与对照组相比，观察组切口长度、术中出血量更少，术后肠功能恢复时间、住院时间更短，差异均有统计学意义（P＜0.05）。观察组术后并发症发生率为5.88%（2/34），低于对照组的28.57%（8/28），差异有统计学意义（P＜0.05）。结论家族性腺瘤性息肉病患者予以腹腔镜辅助全结直肠切除术治疗可显著减少术中出血量，减轻手术创伤，降低并发症发生率，加速术后肠功能恢复及患者康复进程，安全可行。

ObjectiveTo investigate the effect of laparoscopic total proctocolectomy on the postoperative intestinal function in the patients with familial adenomatous polyposis（FAP）. MethodsThe clinical data of 62 FAP patients undergoing total proctocolectomy were retrospectively analyzed. Laparoscopic and open total proctocolectomy were conducted in 34 patients(observation group) and 28 patients(control group) respectively. The surgical situation, postoperative recovery and incidence of complications were compared between the two groups. ResultsThere was no significant difference in the operative duration between the two groups（P＞0.05）. But compared with the control group, the length of incision, duration for intestinal function recovery and hospital stay were shorter and the blood loss was less in the observation group（P＜0.05）. The incident rates of postoperative complications in the observation group was lower than that of the control group (5.88% vs. 28.57%, P＜0.05). ConclusionFor the patients with FAP, laparoscopic total proctocolectomy can significantly reduce the intraoperative blood loss, surgical trauma and the incidence of complications, can accelerate the recovery of intestinal function and the rehabilitation of patients. And this approach is safe and feasible.