探讨免打结倒刺线在双镜联合治疗结直肠息肉中的可行性、安全性及应用效果。

回顾性分析2013年4月至2016年3月，暨南大学第二临床医学院深圳市人民医院胃肠外科施行的59例腹腔镜联合术中肠镜结直肠息肉局部切除并一期缝合的患者，根据术中缝合线不同分组：免打结倒刺线组(34例)，普通可吸收线组(25例)。分别比较两组的一般情况、术中肠管缝合时间、术中出血量、术后肠道功能恢复时间、术后住院时间及术后吻合口漏等并发症发生率等指标差异是否有统计学意义。

两组的年龄分布、性别比例、术中出血量、术后肠道功能恢复时间、术后住院时间及术后吻合口漏等并发症发生率等各项指标比较，差异均无统计学意义(P> 0.05)；但两组的术中肠管缝合时间比较，A组的缝合时间明显少于B组[13.96±3.19) min vs (25.68±10.72) min]，差异有统计学意义(P<0.05)。

免打结倒刺线在腹腔镜联合术中肠镜治疗结直肠息肉中是安全可行的。腹腔镜联合术中肠镜治疗结直肠息肉中，免打结倒刺线相对于普通可吸收线可以缩短术中肠管缝合时间，具有不增加术后吻合口漏发生率及其他并发症等特点。

To investigate the feasibility, safety and clinical efficacies of the combinations of the endoscopic and laparoscopic procedures was employed in the treatment of colorectal polyps.

From Apr. 2013 to Mar. 2016, 59 cases of laparoscopic partial colonoscopy colorectal polyp patients with partial resection and a stitch were performed in the second clinical medical college, Jinan University, Shenzhen people′s hospital of gastrointestinal surgery: knotless self-retaining suture was used in 34 cases(knotless self-retaining suture was used group), and traditional absorbable suture was used in 25 cases (traditional absorbable suture was used group). Respectively to compare two groups of general situation, time of interpretative suture intestines, intraoperative blood loss, postoperative intestinal function recovery time, postoperative hospital stay and the incidence of postoperative complications such as anastomotic leakage and other indicators whether there is a statistically significant difference.

Two groups in the age distribution, sex ratio, intraoperative blood loss, postoperative intestinal function recovery time, postoperative hospitalization days and the incidence of postoperative complications such as anastomotic leakage and there were no statistically significant difference between the indicators(P>0.05). However, the two groups had difference was statistically significant on the suture time , the time of interpretative suture intestines in group A is less than that of group B [13.96±3.19) min vs (25.68±10.72) min](P<0.05).

Knotless agnail line in laparoscopic combined intraoperative colonoscopy in the treatment of colorectal polyps is safe and feasible. In the laparoscopic intraoperative colonoscopy in the treatment of colorectal polyps, knot agnail line relative to the general can absorb line can shorten the time of interpretative suture intestines, but also not increase the incidence of postoperative anastomotic leakage and other complications, etc.