联合内窥镜腹腔镜手术(CELS):一个小回顾

Ali Solouki, A. Khalaj, A. Pazouki
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引用次数: 1

摘要

结肠息肉是一种比较常见的疾病,需要进行结肠镜下息肉切除术。它在手术中有自己的局限性。无梗的或大的息肉或在不可用部分(如结肠肠系膜边界)的息肉不适合结肠镜切除。此外,在结肠镜切除术中,有一个令人沮丧的风险,即未在术中诊断的结肠壁穿孔。在腹腔镜内镜联合手术(CELS)的帮助下,在术中通过腹腔镜监测结肠壁的同时,可以进行更积极的息肉切除术,如果发生穿孔,也有适当的结肠壁修复的可能性,这是一种新的手术诊断和治疗非恶性结肠病变的方法,需要腹腔镜和结肠镜的协调配合,才能安全地进行结肠镜下的息肉切除术。
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Combined Endoscopic Laparoscopic Surgery (CELS): A Mini Review
: Colon polyps are a relatively common problem which necessitates a colonoscopic polypectomy. It has its own limitations in surgery. Sessile or large polyps or those at unavailable section (ie: in mesenteric border of colon) are not suitable for a colonoscopic approach for excision. Furthermore, in colonoscopic resection, there is a frustrating risk of a colon wall perforation that not diagnosed intraoperatively. By the help of Combined Endoscopic Laparoscopic Surgery (CELS), a more aggressive polypectomy could be done while the colon wall monitored intraoperatively via laparoscopy and there is an appropriate possibility of colon wall repair if any perforation had occurred .This is a new method in diagnostic and curative surgical approaching to nonmalignant colon lesion that needs a coherent cooperation between laparoscopy and colonoscopy for performing a safe colonoscopic polypectomy.
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