摘要
目的探讨腹腔镜结直肠手术的临床应用价值。方法对69例腹腔镜下结直肠癌根治术患者的临床资料进行回顾性分析。结果右半结肠切除术8例、横结肠切除术3例、左半结肠切除术8例、乙状结肠切除术8例、Dixon术22例、Miles术11例、结肠次全切除术1例、全结肠切除术1例,乙状结肠癌加胃癌根治术1例。63例手术成功,6例中转开腹。平均手术时间155min,术中平均失血80mL,术后肠蠕动恢复平均49h,无术后出血、吻合口漏等并发症,随访2～30个月,无切口及穿刺孔种植转移。结论腹腔镜结直肠手术治疗结直肠癌安全可行,但必须由熟练且富有经验的术者操作。
[Objective] To study the clinical value of laparoscopic surgery for colorectal carcinoma. [Methods] Clinical data of 69 cases of colorectal neoplasm underwent laparoscopic surgery were retrospectively analyzed. [Resuits] 8 cases underwent right hemicoloectomy; 3 cases underwent transverse colon carcinoma radical resection.8 cases underwent left hemicoloectomy. 8 cases underwent sigmoidectomy 22 cases were performed rectal anterior resection for rectal cancer（Dixon）. Abdominal perineal resection was conducted in 11 cases. 1 case underwent total coloectomy. 1 case underwent subtotal coloectomy. 63 cases succeeded, 6 cases were converted to open laparotomy. The mean time of operation was 155 min, and average intraoperativc bleeding was 80 mL, The average time of the recovery of intestinal function was 49 hours, No another postoperative complication such as bleeding, leakage occurred.. All patients were followed up 2-30 months No one was found trocar site implantation. [Conclusions] The laparoscopic operation to colorectal neoplasms is both feasible and safe. It must be performed under the good indication by skilled and experienced surgeon,
出处
《中国内镜杂志》
CSCD
北大核心
2007年第3期232-234,共3页
China Journal of Endoscopy
关键词
腹腔镜
结直肠肿瘤
结直肠手术
laparoscopy
colorectal tumor
, colorectal surgery
