腹腔镜Dixon手术8例报告  

laparoscopic Dixon Surgery:Report of 8 cases

作　　者：杨新辉[1] 赵为民[1] 孟涛[1] 王海江[1] 范川文[1] 

机构地区：[1]新疆医科大学附属肿瘤医院腹外科,新疆乌鲁木齐830011

出　　处：《新疆医科大学学报》2009年第7期962-963,共2页Journal of Xinjiang Medical University

摘　　要：目的:探讨腹腔镜直肠前切除术(Dixon)治疗中低位直肠癌的可行性、手术方式及其应用价值。方法:对8例中低位直肠癌患者经腹腔镜Dixon术的临床资料进行回顾性分析。结果:8例患者均成功完成手术,其中5例行双吻合器吻合,3例行经肛门脱出吻合。手术时间160～280 min,平均210 min,术中出血20～80 ml,平均出血量50 ml。术后胃肠功能恢复时间24～72 h,无手术死亡、输尿管损伤、骶前出血、吻合口瘘、切口感染等并发症。术后住院(不包括化疗时间)6～14 d,平均9 d。患者术后随访至今3～16个月,无复发转移情况。结论:腹腔镜直肠前切除术治疗中低位直肠癌安全有效,应依据患者病情选择合适的手术方式。Objective： To explore the feasibility, operation Surgery in the treatment of rectal cancer. Methods： The cancer undergone Dixon with laparoscopie total mesorectal Results： The operations in 8 cases were performed well. modes and clinical value of laparoscopic Dixon clinical data of 8 cases with middle-low rectal excision （TME） were analyzed retrospectively. The mean duration of operations was 210 min （range 160 minN280 min）. The amount of bleeding was 50 ml （range 20 ml-80 ml）. The gastrointestinal function recovered in 24-72 h after operation. There were no operative deaths, ureteral injury, antero-sacrum vascular plexus bleeding, anastomotic leakage and incision infections. The length of hospital stay was 9 d （range 6 d-14 d）. All patients had been followed up for 3-16 months after operation. No metastasis and recurrence occurred. Conclusion： Dixon operation by laparoseopy for middle-low rectal cancer with TME is feasible and effective. The operation style mode should be based on the patients situation.

关 键 词：直肠癌 腹腔镜直肠前切除术 全直肠系膜切除 

分 类 号：R616.2[医药卫生—外科学] R735.37[医药卫生—临床医学]