关键词: 腹腔镜, 结肠镜, 广基底结肠息肉

Abstract: 【Abstract】〓Objective〓To discuss the feasibility and clinical effect on combination of laparoscopy and colonoscopy in treating sessile colonic polyps. Methods〓Twenty-two cases of sessile colonic polyps patients, which failed to be resected by colonoscopy, received the treatment of combination of laparoscopy and colonoscopy. Of these patients, 10 cases with laparoscopic-assisted colonoscopic polypectomy, 8 cases with colonoscopy assisted laparoscopic partial colon resection; the other 4 cases underwent colonoscopy assisted laparoscopic segmental colon resection. Results〓All the 22 cases were successfully operated without complications or conversion to open surgery. The mean operation time was 101.6 minutes (55-182 minutes), the mean blood loss was 26.1 ml (10-60 ml), the mean recovery time for gastrointestinal function was 30.7 hours (20-50 hours), and mean hospital stay was 7 days (5-10 days). The patients were followed up for a mean of 16.9 months (5-30months). No recurrence was found. Conclusion〓The treatment of combined laparoscopy and colonoscopy is effective and safe for patients with colonoscopically unrespectable sessile colonic polyps.

Key words: Laparoscopy, Colonoscopy, Sessile colonic polyps