手辅助腹腔镜手术治疗炎症性肠病的优势和操作要点

doi:10.3877/cma.j.issn.2095-3224.2018.03.003

中华结直肠疾病电子杂志 ›› 2018, Vol. 07 ›› Issue (03) : 214 -217. doi: 10.3877/cma.j.issn.2095-3224.2018.03.003

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手辅助腹腔镜手术治疗炎症性肠病的优势和操作要点

吴小剑¹^,^†(

), 陈钰锋¹, 柯嘉¹

^1. 510655　广州，中山大学附属第六医院结直肠外科；广东省结直肠盆底疾病研究重点实验室

收稿日期:2017-05-27 出版日期:2018-06-25
通信作者: 吴小剑
基金资助:
国家临床重点专科建设基金(No.[2012]649); 广东省科技计划项目(No.2013B021800051)

The advantage and operation point of hand assisted laparoscopic surgery in the treatment of inflammatory bowel disease

Xiaojian Wu¹^,^†(), Yufeng Chen¹, Jia Ke¹

^1. Department of Colorectal Surgery, the Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510655, China; Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, the Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou 510655, China

Received:2017-05-27 Published:2018-06-25
Corresponding author: Xiaojian Wu
About author:
Corresponding author: Wu Xiaojian, Email: wuxjian@mail.sysu.edu.cn

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炎症性肠病（IBD）患者由于其特殊的疾病特征，腹腔病变情况较复杂，传统腹腔镜手术操作难度较大。手辅助腹腔镜手术（HALS）由于兼具开腹手术的可直视下操作、手术时间短和腹腔镜手术出血少、术后恢复快的优势，在复杂性IBD治疗中的作用日益凸显。对施行HALS的IBD患者的选择和手术操作值得外科医生的重视。HALS在国外的一些诊疗中心已有开展，在我国尚未有报导，开展相关的研究非常必要。

关键词: 手辅助腹腔镜手术, 炎症性肠病, 克罗恩病, 溃疡性结肠炎

Inflammatory bowel disease (IBD) could lead to the complexity of intra-abdominal pathology, which might largely increase the difficulty of the laparoscopic surgery. Hand assisted laparoscopic surgery (HALS) has been considered to be of great value in the treatment of IBD patients with the advantage of clear field of vision and shorter operative time as laparotomy and less blood loss and shorter postoperative recovery time as laparoscopic surgery. Careful attention would need to be paid to the patient selection and surgical procedure in the IBD patients undergoing HALS. The usage of HALS in the treatment of IBD patients has been reported in some centers in the western countries, but none in our country. Therefore, it is especially important to perform the related research.

Key words: Hand assisted laparoscopic surgery, Inflammatory bowel disease, Crohn′s disease, Ulcerative colitis

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