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目的:探讨联合使用腹腔镜与内镜治疗急性结直肠癌性梗阻的临床价值。方法:2007年1月至2010年1月采用双镜联合治疗的28例急性结直肠癌性梗阻患者的临床资料进行回顾性分析。结果:28例均在内镜下放置支架成功,成功率为100%。梗阻部位分别为直肠上段癌7例,乙状结肠癌11例,降结肠癌8例,横结肠近脾曲2例。术后1～2天均能解除梗阻,术后5～7天接受腹腔镜手术,其中行根治性切除术26例,Hartmann术2例,术后均恢复顺利,无感染及吻合口漏等并发症发生。结论:双镜联合应用治疗急性结直肠癌性梗阻是一种安全、有效的微创治疗方法,操作简单、经济有效、并发症少,可以显著降低病人的创伤和痛苦,提高病人的生活质量。
Objective: To explore the clinical value of combined use of laparoscopy and endoscopy in the treatment of acute colorectal cancer obstruction. Methods: The clinical data of 28 patients with acute colorectal cancer obstruction treated by double-mirror combined treatment from January 2007 to January 2010 were analyzed retrospectively. Results: All 28 cases underwent endoscopic stent placement with a success rate of 100%. Obstruction site were 7 cases of upper rectal cancer, sigmoid colon cancer in 11 cases, descending colon cancer in 8 cases, transverse colon near spleen in 2 cases. Obstruction was relieved within 1-2 days after operation, and laparoscopic surgery was performed 5-7 days after operation. Twenty-six patients underwent radical resection and two patients underwent Hartmann’s operation. All patients recovered smoothly without infection and anastomotic leakage Disease occurs. Conclusion: The combination of dual mirror in the treatment of acute colorectal cancer obstruction is a safe and effective minimally invasive treatment. The method is simple, cost-effective and has fewer complications. It can significantly reduce the patient’s trauma and pain and improve the quality of life of patients.