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腹腔镜在克罗恩病手术治疗中 应用价值及评价

龚剑峰

中国实用外科杂志2017,Vol.37Issue(3):239-243,254,6.
中国实用外科杂志2017,Vol.37Issue(3):239-243,254,6.DOI:10.19538/j.cjps.issn1005-2208.2017.03.08

腹腔镜在克罗恩病手术治疗中 应用价值及评价

Laparoscopic surgery for Crohn's disease: current perspectives

龚剑峰1

作者信息

  • 1. 南京军区南京总医院南京大学医学院金陵医院普通外科炎症性肠病治疗中心,江苏南京210002
  • 折叠

摘要

Abstract

Laparoscopic surgery is currently routinely performed in colorectal resections. However,Crohn's disease (CD)represented a specific cohort due to disease related characteristics such as intestinal stricture,fistula,abscess, malnutrition, previous laparotomy, and use of immunosuppressive agents. In non-complex CD,laparoscopic ileocolic resection has been proven by emerging evidence to be safe and feasible, and is associated with decreased postoperative morbidity and length of hospital stay. In complex diseases, such as penetrating and recurrent disease, laparoscopic resection also confers to beneficial effects in selected patients. Full preoperative evaluation and optimization are important to improve the success rate and to reduce conversion rate of laparoscopic surgery in CD patients.

关键词

腹腔镜/克罗恩病/脓肿//再发

Key words

laparoscopy/Crohn's disease/abscess/fistula/recurrence

分类

医药卫生

引用本文复制引用

龚剑峰..腹腔镜在克罗恩病手术治疗中 应用价值及评价[J].中国实用外科杂志,2017,37(3):239-243,254,6.

中国实用外科杂志

OA北大核心CSCDCSTPCD

1005-2208

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