腹腔镜结直肠肿瘤手术38例临床分析  

Clinical analysis of 38 cases of laparoscopic surgery for colorectal neoplasms

作　　者：纪程宏[1] 庄建民[1] 郭久冰[1] 张道建[1] 徐文军[1] 陈刚[1] 王华斌[1] 

机构地区：[1]厦门市第二医院普外科,361026

出　　处：《福建医药杂志》2008年第6期13-15,共3页Fujian Medical Journal

摘　　要：目的探讨腹腔镜结直肠肿瘤手术的临床应用。方法经腹腔镜行结直肠肿瘤手术38例,其中行全结肠切除术1例,乙状结肠部分切除术6例,乙状结肠癌根治术10例,Dixon手术17例,Miles手术4例。结果34例手术成功;2例上段直肠癌因侵及膀胱和子宫、2例因术中出血而中转开腹手术。平均手术时间230 min,术中平均失血130ml,术后肠蠕动恢复平均48.2小时。2例术后出现早期排尿障碍,无术后出血、吻合口瘘、肠梗阻等并发症。随访3个月～24个月,1例腹腔内广泛转移,2例肝脏转移。结论腹腔镜结直肠肿瘤手术在技术上是可行的,具有手术创伤小、胃肠道干扰小、术后疼痛轻、术后恢复快等优点,尤其对于治疗中下段直肠癌优势明显,值得进一步探索。Objective To explore the application and clinical value of laparoscopy in colorectal neoplasms.Methods Thirty-eight patients with colorectal neoplasms were conducted with laparoscopic techniques.The procedures included pancolectomy(n=1),sigmoid partial resection of colon(n=6),sigmoid colon cancer radical resection(n=10),dixon procedures(n=17),miles procedures(n=4).Results Tirty-four cases were sucsessfully done,four cases were converted to open laparotomy for the bladder and uterus invasion of rectal cancer...

关 键 词：腹腔镜 结直肠肿瘤 手术 

分 类 号：R735.35[医药卫生—肿瘤]