摘要
目的探讨腹腔镜Dixon直肠癌根治术的临床应用价值。方法对132例直肠癌患者施行腹腔镜Dixon直肠癌根治术,总结其手术方法及随访结果。结果 132例患者无一例手术死亡,均行保留肛门的Dixon直肠癌根治术,手术时间平均180 min,术中出血量平均150 m L,肠功能恢复时间平均60 h,术后6例发生吻合口漏,平均随访12个月。结论腹腔镜Dixon直肠癌根治术安全可靠,术中出血少,术后恢复快,对低位直肠癌拓宽了保肛的指征范围,值得临床推广应用。
Objective To investigate the clinical application value of laparoscopic Dixon radical resection of rectal cancer. Methods A total of 132 patients with rectal cancer underwent laparoscopie Dixon radical resection. The surgical approach and the result of follow-up were summarized. Results In 132 cases, no death occurred, and Dixon radical resection of rectal cancer with anus-preservation was performed. The average operative duration was 180 minutes. The average blood loss was 150ml. The average time for intestinal function recovery was 60 hours. Postoperative anastomotic leakage occurred in 6 cases. The average time for followed-up was 12 months. Conclusion Laparoseopie Dixon radical resection of rectal cancer is safe and reliable, can reduce the intraoperative blood loss and obtains faster recovery postoperatively. It widens the indication range of anus-preservation for low rectal cancer and is worthy of clinical promotion and applieation.
作者
廖陈
唐辉蓉
唐浩然
张家骅
LIAO Chen TANG Huirong TANG Haoran ZHANG Jiahua(the First Department of Gastrointestinal Surgery, the Second Affiliated Hospital of Kunming Medical University, Kunming , Yunnan 650101, China)
出处
《微创医学》
2017年第3期338-339,共2页
Journal of Minimally Invasive Medicine
关键词
直肠癌
腹腔镜
DIXON术
根治术
Rectal cancer
Laparoscope
Dixon operation
Radical resection
