title: [Laparoscopic diagnosis and treatment in small intestinal tumors].
abstract: OBJECTIVE
  To evaluate the clinical use of laparoscopy in diagnosis and surgical treatment in small intestinal tumors.
  
  
  METHODS
  Clinical data of 42 patients with small intestinal tumor undergoing laparoscopic diagnosis and surgical procedure from Sep. 2003 to Dec. 2005 were analyzed retrospectively. The operative time, blood loss,length of incision, time for passage of flatus, post-operative hospital stay and operative complications were evaluated.
  
  
  RESULTS
  All the patients were diagnosed and treated by laparoscopic procedure successfully, including 4 laparoscopic local resection of the tumors, 36 laparoscopy-assisted partial intestinal resections, 1 right hemicolectomy, and 1 laparoscopic exploration. The mean operative time was (73.1+/-32.9) min, the mean blood loss was (20.7+/-31.2) ml, the mean length of incision was (3.7+/-1.2) cm, the mean time for passage of flatus was (2.2+/-0.8) d, and the post-operative hospital stay was (8.0+/-3.1) d. Postoperative complications occurred in 2 patients (4.8% ) including anastomosis bleeding and adhesive intestinal obstruction in one case respectively. After follow-up from 3 to 30 months, no recurrent tumor was found except one patient with advanced intestinal carcinoma.
  
  
  CONCLUSIONS
  Laparoscopic exploration can diagnose small intestinal tumors accurately, and laparoscopy-assisted surgical treatment is safe with less trauma and fast recovery.
authors.affiliation: Department of Surgery,Ruijin Hospital, School of Medicine,Shanghai Jiaotong University, Shanghai Minimally Invasive Surgery Center, Shanghai 200025, China.
authors.forename: Wei-guo
authors.initials: WG
authors.lastname: Hu
authors.forename: Jun-jun
authors.initials: JJ
authors.lastname: Ma
authors.forename: Ai-guo
authors.initials: AG
authors.lastname: Lu
authors.forename: Lu
authors.initials: L
authors.lastname: Zang
authors.forename: Feng
authors.initials: F
authors.lastname: Dong
authors.forename: Ming-liang
authors.initials: ML
authors.lastname: Wang
authors.forename: Jian-wen
authors.initials: JW
authors.lastname: Li
authors.forename: Min-hua
authors.initials: MH
authors.lastname: Zheng
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007414:Intestinal Neoplasms / Q000175:diagnosis* / Q000601:surgery*; D007421:Intestine, Small; D010535:Laparoscopy; D008875:Middle Aged; D012189:Retrospective Studies