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[目的]评估腹腔镜联合内镜切除结肠黏膜和黏膜下肿瘤的可行性。[方法]自2012年9月到2013年6月,对12例特殊解剖部位或广基的黏膜及黏膜下肿瘤行腹腔镜、结肠镜联合切除。先使用腹腔镜器械在结肠壁外配合,在浆膜面严格可视前提下,结肠镜下使用电套切或EMR或ESD完成息肉切除术,当出现明显的穿孔或全层灼伤,或须行结肠壁加强者,进行浆肌层缝合修补。[结果]12例均在双镜联合下切除,平均手术时间76min,没有手术相关并发症发生。术后恢复快,平均住院5d。随访2~12个月,无局部复发。[结论]腹腔镜监视辅助下结肠黏膜及黏膜下肿瘤内镜切除术是一种安全、有效的微创治疗方法。
[Objective] To evaluate the feasibility of laparoscopic resection of colon mucosa and submucosal tumor. [Methods] From September 2012 to June 2013, laparoscopic and colonoscopic resection of 12 cases of mucosal and submucosal tumors with special anatomy or wide base were performed. The first use of laparoscopic instruments in the colon wall with strict serosal surface under the premise of the use of colonoscopy under the use of electrical cutting or EMR or ESD complete polypectomy, when there is a clear perforation or full-thickness burns, or to be Intensive colon wall, muscle suture repair. [Result] All the 12 cases underwent resection combined with double mirror. The average operation time was 76 minutes. No operative complications occurred. Fast recovery after surgery, the average hospital 5d. Follow-up 2 to 12 months, no local recurrence. [Conclusion] Laparoscopic monitoring assisted colon mucosa and submucosal tumor endoscopic resection is a safe and effective minimally invasive treatment.