腹腔镜直肠手术的解剖学特点及应用意义  

The anatomical characteristics of laparoscopic rectal surgery and its applied significance

作　　者：骆成玉[1] 季晓昕[1] 张键[1] 关琛[1] 林华[1] 杨齐[1] 丁毅[1] 薛镭[1] 潘邦杰[1] 张勇智[1] 

机构地区：[1]首都医科大学附属北京复兴医院普外科,100038

出　　处：《中华医学杂志》2005年第3期158-160,共3页National Medical Journal of China

摘　　要：目的探讨腹腔镜直肠手术的解剖学特点及其临床指导意义。方法腹腔镜下实施直肠良恶性病变的手术117例,分析了与手术密切相关的解剖。结果全组手术时间平均144min,中转开腹4例,中转率17%。手术出血量相当少,平均126ml。全组术中、术后未见输尿管即时损伤或延迟性损伤以及骶前大出血等严重手术操作相关并发症的发生,仅1例术中直肠左前壁被分破。结论腹腔镜结直肠手术临床可行,熟练掌握腹腔镜直肠手术的解剖学特点,能减少该手术的失误,进一步减少手术并发症。Objective To realize the anatomical characteristics of laparoscopic rectum surgery and its clinical significance.Methods 117 cases with benign and malignant diseases of rectum were operated by laparoscopic methods. The anatomy closely related with operation was analyzed.Results The median operative time were 144 min. 4 cases were converted to open operations, so the converted rate was 1.7%. The blood loss in operation was rather little with an average of 126 ml. No instant or delayed injury of ureters, large bleeding in front of sacrum and other operation-related severe complications happened intra-and after operation. Dissecting only in one case disrupted the anterior-left wall of rectum.Conclusion Laparoscopic rectal surgery is clinically feasible. Mastering the anatomical characteristics of laparoscopic rectum surgery can make us reduce the operative mistakes and complications.

关 键 词：腹腔镜 解剖学特点 直肠手术 术中 并发症 临床指导 手术出血量 结论 意义 目的 

分 类 号：R657.1[医药卫生—外科学]