Total colectomy and proctocolectomy under laparoscopy for familial adenomatous polyposis with can-cerization
- VernacularTitle:腹腔镜全结直肠切除治疗家族性腺瘤性息肉病伴癌变
- Author:
Bo FENG
;
Minhua ZHENG
;
Aiguo LU
- Publication Type:Journal Article
- Keywords:
Laparoscopic surgical procedures;
Familial adenomatous polyposis;
Total colecto-my;
Proctocolectomy
- From:
Chinese Journal of Digestive Endoscopy
2001;0(01):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety, feasibility and efficacy of treating familial adenoma-tous polyposis (FAP) with cancerization by total colectomy and proctocolectomy under laparoscopv. Methods Perioperative data and surgical outcomes of 3 FAP patients who underwent laparoscopic total colectomy and proctocolectomy were analyzed retrospectively and compared with those of 8 patients performed conventional open surgery between Autumn 2001 and December 2002. Results All of the 3 patients were received laparoscopic total colectomy or proctocolectomy successfully without severe complications. The operative times were longer in the laparoscopic group when compared with the conventional group (243. 33 vs. 168. 75 minutes) , (P= 0.028). The mean operative blood loss, flatus and hospital stay in the laparoscopic group were 146. 66 ml, 1. 33 days and 14 days respectively without significant difference when compared with those of the conventional group. The incision length was significantly shorter in the laparoscopic group (4. 33 vs. 19. 38cm) , ( P
