腹腔镜下结直肠肿瘤手术23例疗效观察  

Effective Observation of Laparoscopic Resection of Colorectal Carcinoma:Analysis of 23 Cases

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作  者:郎建华[1] 谢峰[1] 高泉根[1] 邱建平[1] 

机构地区:[1]江苏省吴江市第一人民医院外科,江苏吴江215200

出  处:《中国肛肠病杂志》2007年第10期20-22,共3页Chinese Journal of Coloproctology

摘  要:为总结和探讨腹腔镜下结直肠肿瘤切除术的临床效果,对23例结直肠肿瘤患者采用腹腔镜下结直肠肿瘤切除术的临床资料进行分析。结果显示,22例手术成功,1例手术失败。无输尿管损伤,无吻合口漏、大出血等严重并发症发生。术后并发肺部感染1例,血性引流液较多2例(均为Miles术),1例有性功能障碍。恶性肿瘤病例病理报告切缘均未见癌细胞残留。全组病例均得到随访,无腹壁穿刺孔种植转移,1例DukesC期患者术后3个月出现肝转移,其余病例无复发、转移。结果表明,腹腔镜下行结直肠肿瘤手术是安全、可行的。The objective of the study was to summarize and assess their clinical efficacy of laparoscopic resection of colorectal carcinoma. Twenty three patients underwent such operation, and their clinical data of which were analyzed. All laparoscopic resection were successful except one case. There was no injury to ureter,no anastomotic leakage and mass bleeding, while complicated pulmonary infection was found in one case,more bloody drain in 2 cases (all Miles operation) and sexual function disorder in one case. No residual cancer cells were found at incisal margin. Follow up of all these cases showed no planted metastasis at abdominal wall puncture and no recurrence or other metastasis,with exception of one case of Duke C stage in whom hepatic metastasis appeared 3 monthes after the operation. It is revealed that laparoscopic resec tion of colorectal carcinoma is safe and feasible.

关 键 词:结直肠肿瘤 腹腔镜 外科手术 

分 类 号:R730.56[医药卫生—肿瘤]

 

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