摘要
目的:总结应用改良手助腹腔镜下右半结肠切除术14例的经验。方法:2001年9月至2005年4月应用手助腹腔镜技术施行右半结肠切除术14例。回顾分析手术结果、术中及术后并发症,并随访1~43个月。结果:14例患者手术均获成功,无1例中转开腹,手术时间约为3h,术后恢复良好,无切口感染、吻合口漏、肠梗阻等并发症,随访无切口复发及肠梗阻。结论:对于无远处转移的右侧结肠恶性肿瘤患者,使用手助式右半鲒肠切除术安全、可行,可以获得良好的治疗效果。
Objective:To summarize the experience of 14 cases of hand-assisted laparoscopic right hemi-colectomy. Methods: From Sep. 2001 to Apr. 2005,14 patients underwent hand-assisted right laparoscopic hemi-colectomy. The results of operative and complications were studied retrospectively. The follow-up was 1-43 months. Results:14 cases were done successfully, there was no conversion, all patients returned to normal activity very soon. There were no port-site infection, stoma fistula and ileus. Trocar site and wound recurrences of malignancies and intestinal obstruction did not occurred during the follow-up time. Conclusions: For the patients of right colon cancer without far metastasis, hand-assisted laparoscopic procedure is safe and feasible,and can get a good therapeutic result.
出处
《腹腔镜外科杂志》
2006年第1期30-31,共2页
Journal of Laparoscopic Surgery