目的:探讨结肠镜、腹腔镜双镜联合治疗困难性结直肠息肉的可行性和安全性.方法:10例结肠镜无法完整切除的结肠息肉或结肠镜术中可能出现并发症的病例联合应用腹腔镜、结肠镜,其中腹腔镜辅助结肠镜下治疗5例,结肠镜定位腹腔镜切除4例,结肠镜腹腔镜同步切除1例.结果:10例患者均顺利完成手术,无中转开腹,术后无并发症发生.结论:应用腹腔镜、结肠镜联合手术完成结肠镜无法治疗的结肠息肉,提高了手术的安全性和彻底性.%Objective: To explore the safety and feasibility combined colonscopy with laparoscopy in treatment of difficulty type colorectal polyps and polyp canceration.Methods: 10 cases with endoscopically unresectable colonic polyps or complications may occur by sole colonscopy were performed by laparoscopy combined with colonoscopy.Among them, 5 cases of underwent laparoscopic -assisted colonoscopic polypectomy, 4 cases of colonoscopic -assisted laparoscopic resection.1 case of synchronously colonoscopic and laparoscopic rsection.Results: 10 cases were performed by laparoscopy combined with colonscopy successfully.There were no complications or conversions to open surgery.Conclusion: Colonoscopy combined with laparoscopy available to patients with colonscopically unresectable colonic polyps.Compared with colonscopy alone, it is safety and feasibility and is minimally invasive to the patients.
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