腹腔镜根治性直肠癌切除术的临床探讨  

Clinical discussion on the laparoscopic radical resection of rectal cancer

作　　者：丛山[1] 李延茂[1] 张烈[1] 王乃杰 

机构地区：[1]沈阳市第五人民医院,辽宁沈阳110023 [2]新民市大柳屯中医院

出　　处：《腹腔镜外科杂志》2009年第3期200-201,共2页Journal of Laparoscopic Surgery

摘　　要：目的:探讨腹腔镜行直肠癌根治术的手术方法、优点、适应证及近期临床效果。方法:2004年至2008年我院共施行腹腔镜直肠癌根治术103例,行Dixon手术38例,Miles手术65例。结果:手术均获成功,手术时间150～270min,术中出血50～600ml,无输尿管损伤、吻合口漏发生,无中转开腹,平均住院10～14d。结论:腹腔镜直肠癌根治术对腹腔镜技术要求较高,安全可行,具有术野广、患者创伤小、术后肠功能恢复快、免疫干扰轻、术后康复快、住院时间短、手术并发症少,短期效果较理想等优点。Objective：To discuss the operation methods,advantages,indications and recent clinical results of laparoscopic resection of rectal cancer.Methods：From 2004 to 2008,we performed laparoscopic radical resection of rectal cancer for 103 patients in our hospital.Dixon operation were performed for 38 patients,and Miles operation for 65 patients.Results：All the operations were successfully performed with the operation time ranged 150 to 270min,blood loss 50 to 600ml,and no ureteral injury or anastomotic fistula occurred.The average hospitalization was 10-14 days.Conclusions：Laparoscopic radical resection of rectal cancer has the advantages of wider surgical field,less trauma,more rapid recovery of bowel function,less immune interference,early postoperative activities,shorter hospitalization and less postoperative complications.

关 键 词：腹腔镜术 直肠肿瘤 

分 类 号：R735.37[医药卫生—肿瘤]