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部分炎症性肠病(inflammatory bowel disease,IBD)患者在其病程中需要经历外科手术治疗。20%~35%的溃疡性结肠炎患者及多达70%的克罗恩病患者需要接受手术治疗。随着腹腔镜技术在胃肠外科领域的发展和进步,在世界范围内很多IBD诊治中心开展了微创手术,其在IBD治疗中的优势逐渐得到体现。研究表明,对腹腔镜手术经验丰富的外科医生而言,腹腔镜治疗IBD的可行性、安全性与剖腹手术一致;较之后者而言,微创手术具有手术切口小、术中出血少、术后恢复快、术后腹腔内粘连轻等诸多优点,导致腹腔镜的应用在IBD的治疗中逐渐得到重视。
Some patients with inflammatory bowel disease (IBD) require surgical treatment during their course of disease. 20% to 35% of patients with ulcerative colitis and up to 70% of Crohn’s disease need surgery. With the development and progress of laparoscopy in the field of gastrointestinal surgery, many IBD centers around the world have carried out minimally invasive surgery, and their advantages in IBD treatment have gradually been reflected. Studies have shown that, for experienced surgeons laparoscopic surgery, laparoscopic treatment of IBD feasibility and safety consistent with laparotomy; compared with the latter, minimally invasive surgery with a small incision, less bleeding, surgery Fast recovery, postoperative intra-abdominal adhesions and many other advantages, leading to the application of laparoscopy in the treatment of IBD gradually get attention.