4孔电钩法完全腹腔镜乙状结肠/直肠癌根治保肛术(附32例报告)  

Total laparoscopic radical resection for rectosigmoid cancer with hook electrode:report of 32 cases

作　　者：冯泽荣[1] 黄顺荣[1] 余俊英[1] 

机构地区：[1]广西壮族自治区人民医院胃肠外科,广西南宁530021

出　　处：《中国内镜杂志》2008年第11期1165-1167,1170,共4页China Journal of Endoscopy

摘　　要：目的探讨自主创新4孔电钩法完全腹腔镜乙状结肠/直肠癌根治保肛术的安全性、可行性和优越性。方法回顾性分析接受该手术方式的27例直肠癌、5例乙状结肠癌患者的病历资料。结果32例手术皆顺利完成,术中用电钩、双极电凝钳,未使用超声刀、结扎速和直线切割闭合器,腹壁只有4孔微小伤口,手术时间(180±43)min,出血(65±20)mL,无术中副损伤,肿瘤距离肛缘最近为4cm,术后用24h硬脊膜外镇痛后都无需镇痛药,肛门排气时间平均48h,住院时间平均8d,术后30d内并发症:1例右下肺感染,1例吻合口瘘,随访1～20个月无复发。结论4孔电钩法完全腹腔镜乙状结肠/直肠癌根治保肛术是一种安全可行、更微创美观、更利于保肛、省设备省耗材易推广的手术方式。【Objective】To explore the superiority, safety and feasibility of total laparoscopic radical resection of rectosigmoid cancer with hook electrode. 【Methods】 5 patients with rectal cancer and 27 patients with sigmoid colon cancer were performed with total laparoscopic radical resection with electric hook from Feb. 2007 to Aug. 2008. 【Results】The operations were all successful with hook electrode and bipolar coagulation grasper instead of ultrasonic scissors, ligasure and linear stapler. Wounds in the abdomen ...

关 键 词：腹腔镜 乙状结肠癌 直肠癌 电钩 

分 类 号：R735.35[医药卫生—肿瘤]