微创手术中的术中肠镜检查
Intraoperative enteroscopy in minimally invasive surgery.
作者信息
Hotokezaka Masayuki, Jimi Sei-Ichiro, Hidaka Hideki, Eto Tada-Aki, Chijiiwa Kazuo
机构信息
Department of Surgical Oncology and Regulation of Organ Function, Miyazaki University School of Medicine, Miyazaki, Japan.
出版信息
Surg Laparosc Endosc Percutan Tech. 2007 Dec;17(6):492-4. doi: 10.1097/SLE.0b013e31814a602b.
PURPOSE
The purpose of this study was to assess the efficacy and safety of intraoperative enteroscopy (IOE) in patients undergoing minimally invasive surgery.
METHODS
Twelve patients underwent minimally invasive surgery and IOE at Miyazaki University Hospital. Patients included 11 men and 1 woman. After extraction of the intestine via minilaparotomy, enterotomy was performed, and a sterilized enteroscope was inserted.
RESULTS
Length of the skin incision was 5.7+/-0.2 cm (mean+/-standard error). Length of the small intestine observed enteroscopically was 334+/-19 cm. Distance from the ligament of Treitz to the orally observed jejunum was 11.8+/-3.6 cm. In 5 of 9 patients with Crohn disease, additional lesions were found by IOE that were not found by preoperative examination. One additional tumor was found in 1 patient with ileal tumor. Postoperative complications occurred in 2 patients.
CONCLUSION
IOE is efficacious in patients undergoing minimally invasive surgery.
目的
本研究旨在评估术中肠镜检查（IOE）在接受微创手术患者中的疗效和安全性。
方法
12例患者在宫崎大学医院接受了微创手术和IOE。患者包括11名男性和1名女性。通过迷你剖腹术取出肠道后，进行肠切开术，并插入消毒的肠镜。
结果
皮肤切口长度为5.7±0.2厘米（平均值±标准误差）。经肠镜观察的小肠长度为334±19厘米。从Treitz韧带到经口观察到的空肠的距离为11.8±3.6厘米。在9例克罗恩病患者中的5例中，IOE发现了术前检查未发现的额外病变。1例回肠肿瘤患者中发现了1个额外的肿瘤。2例患者发生了术后并发症。
结论
IOE在接受微创手术的患者中是有效的。
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