腹腔镜辅助下切除低位直肠癌25例报告  

Laparoscopy-assisted low rectal cancer excision:Report of 25 cases

作　　者：冯安明[1] 张克难[1] 庞典付[1] 

机构地区：[1]湖北省荆州市华中科技大学同济医学院附属荆州医院胃肠外科,434020

出　　处：《腹部外科》2008年第1期26-27,共2页Journal of Abdominal Surgery

摘　　要：目的探讨低位直肠癌采用腹腔镜辅助切除和用疝补片修补盆底腹膜的可行性及预防输尿管、骶前血管损伤的方法。方法对2004年4月～2006年10月我院胃肠外科在腹腔镜辅助下根治性切除低位直肠癌25例的临床资料进行回顾性分析。结果在腹腔镜辅助下完成手术24例,中转手术1例。手术时间平均为3.8h。本组无术后死亡病例。术中、术后发生输尿管损伤、骶前血管损伤出血和造瘘口狭窄各1例。术后标本检测淋巴结数目4～17个(中位数9个)均无转移报告。结论腹腔镜辅助下切除低位直肠癌安全可行,并有术后肠功能恢复快、肠粘连发生少及避免腹部切口感染的优点。Objective To discuss the feasibility of laparoscopy-assisted low rectal cancer excision and repair of pelvic peritoneal defects with hernia patch and the methods used to prevent injury of nephric duct and antero-sacrum vascular plexus. Methods From April 2004 to October 2006,25 patients undergoing laparoscopy assisted low rectal cancer excision in our hospital were analyzed retrospectivly. Results Twenty-four cases were subjected to the radical resection under laparoscopy. One case was converted open surgery. Mean operative time was 3. 8 h. There were no operative deaths. Complications during and after operation included ureteral injury（n = 1）, antero-sacrum vascular plexus injury （n = 1 ） and stomal stenosis （n = 1 ）. Number of lymphoid nodes detected after operation was 4- 17 （mean 9）and none of them had metastasis. Conclusion Laparoscopy-assisted low rectal cancer excision is safe and feasible, with the advantages of quicker intestine function recovery, milder ankylenteron and less abdominal incision infections.

关 键 词：直肠肿瘤 腹腔镜 回顾性研究 

分 类 号：R713.42[医药卫生—妇产科学] R735.37[医药卫生—临床医学]