Hildebrandt U, Lindemann W, Kreissler-Haag D, Feifel G, Ecker K W
Abteilung für Allgemeine Chirurgie, Abdominal-, und Gefässchirurgie, Universität des Saarlandes, Homburg/Saar.
Zentralbl Chir. 1998;123(4):403-5.
Laparoscopic assisted proctocolectomy with ileoanal pouch is a technical alternative to the conventional open procedure. The aim of this technique are better cosmetics. Mobilisation of the colon is achieved laparoscopically. Rectal resection, J-pouch creation, and pouchanal anastomosis are performed via a Pfannenstiel incision. Laparoscopic assisted proctocolectomy has been performed in five selected patients, three female and two male aged 17 to 36 years. Operative time ranged from 305 to 420 minutes. Intra- and postoperative complications were not encountered. Postoperative hospital stay ranged from 13 to 16 days. On a scale from 1 to 10 the average quality of life was graded 9 and the overall satisfaction level with the results of surgery scored 10. Function was identical to open surgery in not selected patients.
腹腔镜辅助回肠肛管直肠结肠切除术是传统开放手术的一种技术替代方案。该技术的目的是获得更好的美容效果。通过腹腔镜实现结肠游离。直肠切除、J形贮袋创建和贮袋肛管吻合术通过耻骨上横切口进行。已对5例选定患者实施了腹腔镜辅助直肠结肠切除术，其中3名女性和2名男性，年龄在17至36岁之间。手术时间为305至420分钟。未出现术中及术后并发症。术后住院时间为13至16天。生活质量平均评分为9分（满分10分），对手术结果的总体满意度评分为10分。在未选定的患者中，功能与开放手术相同。
