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目的探讨双镜(腹腔镜、纤维结肠镜)联合治疗结直肠类癌。方法回顾性分析2003年1月～2008年11月经纤维结肠镜检查并病理证实的结直肠类癌12例,分析其形态学特点及双镜联合治疗结直肠类癌。结果结直肠类癌男性明显多于女性(2.0∶1),内镜下多表现为典型的黏膜下肿物,肿瘤直径为1.5～9.0cm,在腹腔镜下行纤维结肠镜肿瘤定位作结直肠类癌根治性手术。结论肿瘤直径大小和浸润深度是决定结直肠类癌手术方式的关键,对肿瘤直经大于1.5～2.0cm,浸润肠管壁较深,在缺乏超声内镜检查或超声内镜检查发现肌层浸润或腹腔有淋巴结肿大,行腹腔镜下纤维结肠镜定位、结直肠类癌根治性手术是一种安全有效可行的方法。
Objective To investigate the combined treatment of colorectal carcinoid with double mirror (laparoscopy and colonoscopy). Methods Retrospective analysis of 12 cases of colorectal carcinoid colon fibroids and pathological confirmed from January 2003 to November 2008, their morphological characteristics and double mirror combined treatment of colorectal carcinoid. Results Colorectal carcinoid tumors were significantly more than those in women (2.0:1). The endoscopic submucosa showed typical submucosal tumors with a diameter of 1.5-9.0 cm. Colonoscopy was performed in laparoscopy for colorectal carcinomas Cancer radical surgery. Conclusions The size of tumor and the depth of invasion are the key to determine the surgical approach of colorectal carcinoid tumor. The tumor infiltrates more than 1.5 ~ 2.0 cm and infiltrates the deeper intestine wall. In the absence of endoscopic ultrasound or endoscopic ultrasonography, myometrial invasion Or abdominal lymph nodes, laparoscopic colonoscopy, colorectal carcinoid radical surgery is a safe and effective method.