腹腔镜结直肠癌根治术手术技术的探讨  

Investigation of operative technique of laparoscopic colorectal carcinoma radical operation

作　　者：刘忠升[1] 何海清[1] 王腾祺[1] 张志强[1] 刘秀军[1] 孙海滨[1] 冯海平[1] 庞健[1] 

机构地区：[1]巴彦淖尔市医院,内蒙古临河015000

出　　处：《腹腔镜外科杂志》2011年第1期44-46,共3页Journal of Laparoscopic Surgery

摘　　要：目的:探讨腹腔镜结直肠癌根治术的手术技术,包括手术的整体配合、手术路径等。方法:回顾分析为60例结直肠癌患者施行腹腔镜结直肠癌根治术的全过程。结果:60例均顺利完成腹腔镜手术,无一例中转开腹。其中直肠癌根治术35例,包括Miles术式5例,直肠癌晚期姑息性乙状结肠造瘘2例,直肠腺瘤局部肠管切除1例,结肠癌根治术20例,姑息性结肠癌造瘘术1例,家族性大肠息肉病并恶变行全大肠切除术1例。术中出血0～150ml,平均15ml。手术时间45～185min,平均68min,住院8～74d,平均22.1d。术后随访37例患者1～18个月。1例Ⅳ期患者术后6个月出现肝转移,未进一步治疗于24d后死亡;2例晚期患者发生肝转移,接受2次抢救性化疗,目前仍在治疗中。余34例患者复查未发生复发或转移,现仍健在。结论:腹腔镜结直肠癌根治术微创、安全、可靠,前景广阔。Objective：To evaluate laparoscopic surgical technique in resection of colorectal cancer,including the overall coordination of the operation,operation path and so on.Methods：All 60 patients who underwent laparoscopic resection of colorectal cancer were entered into a retrospective analysis process.Results：All 60 patients were successfully completed laparoscopic operations.None of them was converted to laparotomy.The average blood loss was 15ml （0-150ml）.The average operative time was 68min （45-185min）.The average hospital stay was 22.1d.Conclusions：Laparoscopic resection of colorectal cancer is minimally invasive,safe,reliable,and promising.

关 键 词：结直肠肿瘤 结直肠外科手术 腹腔镜检查 

分 类 号：R735.3[医药卫生—肿瘤]