[Laparoscopic diagnosis and treatment in small intestinal tumors].
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.
Hu
Wei-guo
WG
Department of Surgery,Ruijin Hospital, School of Medicine,Shanghai Jiaotong University, Shanghai Minimally Invasive Surgery Center, Shanghai 200025, China.
Ma
Jun-jun
JJ
Lu
Ai-guo
AG
Zang
Lu
L
Dong
Feng
F
Wang
Ming-liang
ML
Li
Jian-wen
JW
Zheng
Min-hua
MH
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