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/瘘/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.