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32例腹腔镜下结直肠癌手术的临床分析 被引量:1

Laparoscopic Procedure for Colorectal Cancer-Primary Experiences on 32 Cases
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摘要 目的探讨腹腔镜技术在结直肠癌根治术的临床效果。方法对34例腹腔镜下结直肠部根治术患者资料进行回顾性分析。结果32例(94%)在腹腔镜下完成手术,其中右半结肠切除术5例,横结肠切除术3例,左半结肠切除术4例,乙状结肠切除术4例、Dixon术6例,Parks术2例,Miles术3例,结肠次切除术3例,2例中转开腹行Miles术。无围手术期死亡及出血和肠瘘等并发症。术后胃肠功能恢复时间1~3天(平均2天)。术后随访时间8~40个月,平均19个月。结论腹腔镜技术在直肠癌根治术中具有操作安全、创伤小、可达到根治性的效果。 Objective To summarize and to discuss the clinical effect of laparoscopic procedure for colorectal cancer. Methods TO analyse 34 patients data retrospectively ,which was about laparocopic procedure for colorectal cancer. Results 32 patient (94%) were on lapsroscopic procedure for colorectal cancer, thereamong, 5 patients were on right hemicolectomy , 4 patients were on left hemicolectomy , 3 patients were on resection of transverse colcong, 4 patients were on sigmoidectomy ,6 patients were on the Dixon, 2 patients were on the Parks, 3 patients were on the Miles ,3 patients were on subtotal colectomy, but 2 patients'surgical procedure were coverted to laparotomy during operation. The complications, as to patients' death during perioperative period, hemorrhage and intestinal fistula , were zero. After they had been operated, their g astrointetinal function returned to normal between 1 day and 3 days (average 2 ays).Monitoring epoch were form 8 months to 40 months (average 19 months ). Conclusion laparosocopic procedure for colorectal cancer is safe, little-hurt and it makes clinical effect in radical resection.
出处 《国际医药卫生导报》 2006年第22期34-36,共3页 International Medicine and Health Guidance News
关键词 外科学 腹腔镜 结直肠肿瘤 结肠切除术 Aparosocopy Colcon cancer Retal cacer Surgery
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