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通过腹腔镜辅助结肠切除术治疗乙状结肠憩室病并发的内瘘。

The treatment of internal fistulae that complicate diverticular disease of the sigmoid colon by laparoscopically assisted colectomy.

作者信息

Hewett P J, Stitz R

机构信息

University of Queensland, Department of Surgery, Royal Brisbane Hospital, Herston, Australia.

出版信息

Surg Endosc. 1995 Apr;9(4):411-3. doi: 10.1007/BF00187162.

DOI:10.1007/BF00187162
PMID:7660265
Abstract

Seven patients with internal fistulae complicating colonic diverticular disease were treated by laparoscopic assisted colectomy over a 24-month period. Prospective review of these patients was carried out to ascertain efficacy of the treatment. No intraoperative complications were encountered and return of gastrointestinal function was apparent within two days in all cases. Postoperative hospital stay was limited to an average of 4.7 days. No long-term complication or fistula recurrence has been noted in the mean 11-month follow-up period. This study indicates laparoscopic assisted colectomy is an effective means of treatment for diverticular fistulae.

摘要

在24个月的时间里,对7例并发结肠憩室病的内瘘患者进行了腹腔镜辅助结肠切除术。对这些患者进行了前瞻性评估,以确定治疗效果。术中未出现并发症,所有病例均在两天内恢复胃肠功能。术后平均住院时间为4.7天。在平均11个月的随访期内,未发现长期并发症或瘘复发。本研究表明,腹腔镜辅助结肠切除术是治疗憩室瘘的有效方法。

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本文引用的文献

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Laparoscopic treatment of colovesical fistulas: technique and report of two cases.腹腔镜治疗结肠膀胱瘘:技术及两例报告
Surg Laparosc Endosc. 1994 Apr;4(2):157-60.
2
Internal fistulas in diverticular disease.憩室病中的内瘘
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腹腔镜治疗复杂性结肠憩室病所致结肠膀胱瘘:一项系统评价
Tech Coloproctol. 2014 Oct;18(10):873-85. doi: 10.1007/s10151-014-1157-5. Epub 2014 May 7.
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Laparoscopic resection of chronic sigmoid diverticulitis with fistula.腹腔镜下慢性乙状结肠憩室炎伴瘘管切除术
JSLS. 2013 Oct-Dec;17(4):636-40. doi: 10.4293/108680813X13693422520512.
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Laparoscopic management of diverticular colovesical fistula: experience in 15 cases and review of the literature.腹腔镜治疗结肠膀胱憩室瘘:15例经验及文献复习
Int Surg. 2013 Apr-Jun;98(2):101-9. doi: 10.9738/INTSURG-D-13-00024.1.
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Laparoscopic management of diverticular disease.腹腔镜下憩室病的治疗
Clin Colon Rectal Surg. 2004 Aug;17(3):187-93. doi: 10.1055/s-2004-832701.
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Elective laparoscopic surgery for benign internal enteric fistulas: a review of 43 cases.良性肠内瘘的选择性腹腔镜手术:43例病例回顾
Surg Endosc. 2005 Feb;19(2):222-5. doi: 10.1007/s00464-004-8801-5. Epub 2004 Dec 23.
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Surg Endosc. 2004 Feb;18(2):276-80. doi: 10.1007/s00464-003-8809-2. Epub 2003 Dec 29.
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Laparoscopic treatment of enteric fistulas.腹腔镜治疗肠瘘
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