腹腔镜辅助结直肠手术的临床分析  

Laparoscopic-assisted colorectal surgery

作　　者：黄克俭[1] 裘正军[1] 江弢[1] 曹俊[1] 张放[1] 朱麟[1] 

机构地区：[1]上海交通大学附属上海市第一人民医院,上海201620

出　　处：《腹腔镜外科杂志》2009年第3期197-199,共3页Journal of Laparoscopic Surgery

摘　　要：目的:总结腹腔镜辅助结直肠手术的处理经验。方法:总结2003年1月至2007年10月我院腹腔镜辅助结直肠手术的经验,患者病变位于腹膜返折上方,资料完整者154例,分为早期组62例(2006年前)及后期组92例(2006年后),比较两组患者的基本情况、手术时间、术中出血、淋巴结清扫、术后并发症发生及中转开腹等情况。结果:两组患者基本情况无明显差异,后期组手术时间、术中出血、术后平均住院天数少于早期组,2组间并发症比较无差异,总体并发症发生率10.53%,围手术期死亡率1.30%,中转开腹2例。结论:腹腔镜辅助结直肠手术是安全有效的外科治疗手段。Objective：To summarize the experience in laparoscopic-assisted colorectal surgery.Methods：A retrospective study was done to evaluate the safety and effectiveness of laparoscopic-assisted colorectal surgery in our department from Jan.2003 to Oct.2007.154 cases with intact clinical data,were divided into early group（62 cases,from 2003 to 2005） and late group（92 cases,from 2006 to 2007）,and all the lesions were located up the peritoneal reflection.The basic preoperative variables,operative time,intraoperative blood loss,lymph node harvests and postoperative complications were compared between the two groups.The reasons for convertion to open procedure were also analyzed.Results：The basic variables were similar between the two groups.Less intraoperative blood loss and short postoperative hospitalization were found in late group.The morbidity was also comparable between the two groups.The total morbidity and mortality rate were 10.53%,1.30% respectively.Only two cases were converted to open surgery because of obesity and advanced tumor.Conclusions：Laparoscopic-assisted colorectal surgery is a safe and feasible surgical procedure.

关 键 词：腹腔镜辅助手术 结直肠肿瘤 结直肠外科手术 

分 类 号：R735.3[医药卫生—肿瘤]