腹腔镜下结直肠癌手术——80例的初步体会  被引量：22

paroscopic procedure for colorectal cancer --Primary experiences on 80 cases</em> <p class='article-op'> <span id="bdshare" class="bdshare_t bds_tools get-codes-bdshare baidufx"><span><span class="bds_more" style="display: block; width: 62px; height: 29px; background: url(/images/share.gif) no-repeat!important; padding: 0;"></span></span></span> </p> <p class="article-source"> <a href ='/article/read.aspx?id=1001083389' class='btnTitle btnIsView' target='_blank'><img alt='在线阅读' src='/images/btn-read.png'/></a><a class='btnTitle btnIsView' href="javascript:showdown('L/TRNcl+RJunkL8X42ykNwddV1VHoXjqYDnuU0JistVLy8dCT7XTBg==')"><img alt="下载全文" src="/images/btn-down.png" /></a> <input id="hiddowninfo" type="hidden" value="L/TRNcl+RJunkL8X42ykNwddV1VHoXjqYDnuU0JistVLy8dCT7XTBg=="/> </p> <div class="collect" style="display: none"> <h5>我的收藏</h5> <div class="cnt"> <p> 名 称：<input type="text" name="collTitle" id="collSumTitle" /> </p> <p> 注 释：<input type="text" name="collRemark" id="collSumRemark" /> </p> <p style="text-align: center;"> <a href="javascript:void(0)" onclick="g_collectSumOk();"> <img width="65" height="17" src="/images_new/collect_ok.png" alt="完成" /></a> <a href="javascript:void(0)" onclick="g_collectSumCancel();"> <img width="65" height="17" src="/images_new/collect_no.png" alt="取消" /></a> </p> </div> </div> </div> <form name="wxTransfer" method="post"> <input type="hidden" name="lid" value="" /> <input type="hidden" name="sip" value="" /> <input type="hidden" name="date" value="" /> <input type="hidden" name="co" value="" /> <input type="hidden" name="Title_C" value="" /> <input type="hidden" name="Writers" value="" /> <input type="hidden" name="Name_C" value="" /> <input type="hidden" name="Num" value="" /> <input type="hidden" name="Years" value="" /> <input type="hidden" name="Volumn" value="" /> <input type="hidden" name="GCH" value="" /> <input type="hidden" name="Vol" value="" /> <input type="hidden" name="BookID" value="" /> <input type="hidden" name="SubjectNum" value="" /> <input type="hidden" name="SpecialNum" value="" /> <input type="hidden" name="mirrorName" value="" /> <input type="hidden" name="UserID" value="" /> <input type="hidden" name="UserName" value="" /> <input type="hidden" name="sourceID" value="" /> </form> <script type="text/javascript" src="/scripts/transfer.min.js"></script> <div class="article-detail"> <p class='author'><strong>作　　者：</strong><a href='/writer/article.aspx?id=100000008089623' target='_blank' ><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=A%3d%5b%e5%85%b3%e7%ab%9e%e7%ba%a2%5d' title='关竞红[1]'>关竞红[1]</a> <a href='/writer/article.aspx?id=100000001590124' target='_blank' ><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=A%3d%5b%e9%82%b1%e8%be%89%e5%bf%a0%5d' title='邱辉忠[1]'>邱辉忠[1]</a> <a href='/writer/article.aspx?id=100000004013884' target='_blank' ><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=A%3d%5b%e6%9e%97%e5%9b%bd%e4%b9%90%5d' title='林国乐[1]'>林国乐[1]</a> <a href='/writer/article.aspx?id=100000035004482' target='_blank' ><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=A%3d%5b%e5%90%b4%e6%96%8c%5d' title='吴斌[1]'>吴斌[1]</a> <em> </em></p><p class='organ'><strong>机构地区：</strong><a href='/organ/article.aspx?id=57801&subid=&showname=&searchtype=' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=S%3d%e4%b8%ad%e5%9b%bd%e5%8c%bb%e5%ad%a6%e7%a7%91%e5%ad%a6%e9%99%a2%e4%b8%ad%e5%9b%bd%e5%8d%8f%e5%92%8c%e5%8c%bb%e7%a7%91%e5%a4%a7%e5%ad%a6%e5%8c%97%e4%ba%ac%e5%8d%8f%e5%92%8c%e5%8c%bb%e9%99%a2' title='[1]中国医学科学院中国协和医科大学北京协和医院,北京100730'>[1]中国医学科学院中国协和医科大学北京协和医院,北京100730</a> <em> </em></p><p class='from'><strong>出　　处：</strong><a href='/journal/summary.aspx?gch=88329X' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=J%3d%5b%e7%99%8c%e7%97%87%e8%bf%9b%e5%b1%95%5d' title='癌症进展'>《癌症进展》</a>2004年第6期430-433,419,共5页<em>Oncology Progress</em></p><p class='abstrack'><strong>摘　　要：</strong>目的 探讨腹腔镜结直肠癌手术的安全性、有效性及手术适应证。方法 回顾分析2001年12月-2004年5月间共80例结直肠癌患者施行腹腔镜下手术的经验。结果 全组中直肠癌30例,肛管癌1例,共施行Dixon手术11例,Miles手术20例;结肠癌49例,施行乙状结肠癌切除术6例,右半结肠切除术41例,横结肠和左半结肠切除术各1例。中转开腹率20％,术中并发症发生率3.8％,术后并发症发生率3.75％,无吻合口漏,无手术死亡病例,平均清扫淋巴结12.5枚,平均随访12.6个月。结论 只要严格掌握适应证,选择适合病人,结直肠腹腔镜手术是安全、有效的。<em><abstract>jective To explore the safety, effectiveness and indications for laparoscopic colorectal surgery. Methods 80 cases of laparoscopic colorectal surgery from 2001 to 2004 were reviewed retrospectively. Results Among the 80 cases, there were 30 cases of rectal cancer, 1 case of anal cancer which 11 cases of Dixon's operation and 20 cases of Miles' operation were performed. Among the rest 49 cases of colon cancers, we performed 6 cases of colosigmoidostomy and 43 cases of hand-assisted colectomy. The conversion rate was 20% . There were 3.8% of complications during operation and 3.75% post operatively. No anastomosis leakage and no death due to operation were found. The average lymphadenopathy were 12.5 nodes and average follow-up range were 12.6 months. Conclusion Laparoscopic colorectal surgery is safety and effective for the patients with indications.</em></p><p class='subject'><strong>关 键 词：</strong><a href='/subject/article.aspx?id=6898598' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=K%3d%5b%e8%85%b9%e8%85%94%e9%95%9c%5d' title='腹腔镜'>腹腔镜</a> <a href='/subject/article.aspx?id=4903552' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=K%3d%5b%e7%bb%93%e8%82%a0%e7%99%8c%5d' title='结肠癌'>结肠癌</a> <a href='/subject/article.aspx?id=1505231' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=K%3d%5b%e7%9b%b4%e8%82%a0%e7%99%8c%5d' title='直肠癌'>直肠癌</a> <a href='/subject/article.aspx?id=3771184' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=K%3d%5b%e5%a4%96%e7%a7%91%e6%89%8b%e6%9c%af%5d' title='外科手术'>外科手术</a> </p><p class='class'><strong>分 类 号：</strong><a href='/zk/search.aspx?key=C%3dR739.65' title='R739.65'>R739.65</a>[<a href = '/domain/article.aspx?id=503' >医药卫生—肿瘤</a>] </p> </div> <div id="content_wzxg" name="wzxg" class="article-graph"> <object width="695" height="250" classid="clsid:D27CDB6E-AE6D-11cf-96B8-444553540000" id="FlashID"> <param value="../flash/relation.swf" name="movie"> <param value="high" name="quality"> <param value="opaque" name="wmode"> <param value="6.0.65.0" name="swfversion"> <param value="dataUrl=/ajax/articlerelativegraph.ashx?id=1001083389" name="flashVars"> <embed width="695" height="250" src="../flash/relation.swf" type="application/x-shockwave-flash" quality="high" wmode="opaque" flashvars="dataUrl=/ajax/articlerelativegraph.ashx?id=1001083389"> </embed> </object> </div> <div class="article-relate-list"> <div class="relate-list"> <p id="ckwx_br"> </p> <h2 name="ckwx" id="ckwx">参考文献：</h2> <div id="listckwx"> <p class='submit'> <img src='/images/loading.gif' width='16' height='16' /> 正在载入数据... </p> </div> </div> <div class="relate-list"> <p id="2jckwx_br"> </p> <h2 name="2jckwx" id="2jckwx">二级参考文献：</h2> <div id="list2jckwx"> <p class='submit'> <img src='/images/loading.gif' width='16' height='16' /> 正在载入数据... </p> </div> </div> <div class="relate-list"> <p id="ohwx_br"> </p> <h2 name="ohwx" id="ohwx">耦合文献：</h2> <div id="listohwx"> <p class='submit'> <img src='/images/loading.gif' width='16' height='16' /> 正在载入数据... </p> </div> </div> <div class="relate-list"> <p id="yzwx_br"> </p> <h2 name="yzwx" id="yzwx">引证文献：</h2> <div id="listyzwx"> <p class='submit'> <img src='/images/loading.gif' width='16' height='16' /> 正在载入数据... </p> </div> </div> <div class="relate-list"> <p id="2jyzwx_br"> </p> <h2 name="2jyzwx" id="2jyzwx">二级引证文献：</h2> <div id="list2jyzwx"> <p class='submit'> <img src='/images/loading.gif' width='16' height='16' /> 正在载入数据... </p> </div> </div> <div class="relate-list"> <p id="tbywx_br"> </p> <h2 name="tbywx" id="tbywx">同被引文献：</h2> <div id="listtbywx"> <p class='submit'> <img src='/images/loading.gif' width='16' height='16' /> 正在载入数据... </p> </div> </div> <div class="relate-list"> <p id="xgqklw_br"> </p> <h2 name="xgqklw" id="xgqklw">相关期刊文献：</h2> <div id="listxgqklw"> <p class='submit'> <img src='/images/loading.gif' width='16' height='16' /> 正在载入数据... </p> </div> </div> </div> </div> <div class="article-about"> <div class="about-box"> <h5 class="name">相关的主题<tt><a class="hide" href="#"></a></tt></h5> <div class="about-list"> </div> </div> <div class="about-box"> <h5 class="name">相关的作者对象<tt><a class="" href="#"></a></tt></h5> <div class="about-list" style="display: none;"> </div> </div> <div class="about-box"> <h5 class="name">相关的机构对象<tt><a class="" href="#"></a></tt></h5> <div class="about-list" style="display: none;"> </div> </div> </div> </div> </div> <script type="text/javascript" src="/scripts/articlerelation.min.js"></script> <script type="text/javascript" src="/scripts/articlerightrelation.min.js"></script> <script type="text/javascript" src="/scripts/articledown.min.js"></script> <div class="layer-box download" id="downloadlayer" style="display: none"> <div class="close"> <a onclick="closedown()" href="javascript:void(0)"> <img src="/images/layer-close.png" width="21" height="21" alt="" /> </a> </div> <h5 class="layer-title">下载全文</h5> <div id="downloadinfo"></div> </div> <div class="layer-box download" id="downloadlayer2" style="display:none;min-height:100px;width:500px;"> <p> <img src="/images/loading2.gif" width="64" height="64"> <span style="font-size:20px;vertical-align:middle;padding-bottom:50px;">正在链接到云南高校图书馆文献保障联盟下载...</span> </p> </div> <script id="bdshare_js" data="type=tools&uid=0" type="text/javascript"></script> <script type="text/javascript"> $(function () { var rd = GetQueryString("rd"); 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