腹腔镜结直肠癌根治术56例报告  

Laparoscopic colorectal cancer radical operation:a report of 56 cases

作　　者：何军强[1] 罗光辉[1] 宋涛[1] 

机构地区：[1]南方医科大学附属新会人民医院,广东江门529100

出　　处：《腹腔镜外科杂志》2011年第4期281-282,共2页Journal of Laparoscopic Surgery

摘　　要：目的:对比分析腹腔镜结直肠癌根治术与传统根治术的临床疗效。方法:回顾分析2002年1月至2009年12月施行的56例腹腔镜和86例传统结直肠癌根治术的临床资料,对比分析其手术操作、并发症及术后情况等。结果:8例中转开腹,占14.3%。腹腔镜组平均住院时间多于开腹组[(8.3±1.4)d vs.(5.2±1.6)d]。腹腔镜组术中无其他脏器损伤、大出血、气体栓塞等并发症发生。术后1例肠漏,2例肠粘连,无一例死亡。随访12～36个月,平均18个月,所有患者均未发现切口种植,局部复发和远处转移差异无统计学意义。结论:腹腔镜结直肠癌根治可达到传统结直肠癌根治术的效果,且患者创伤小,康复快。Objective：To compare therapeutics of laparoscopic colorectal radical resection with the traditional treatment.Methods：The surgical procedure,complications,and postoperative conditions in 56 cases of laparoscopic surgery and 86 cases of conventional surgery for colorectal cancer between Jan.2002 and Dec.2009 were compared.Results：Eight of 56 laparoscopic operations were converted to conventional surgery（14.3%）.The average hospital stay in laparoscopic group was more than conventional surgery group [（8.3 ± 1.4） days vs.（5.2 ± 1.6） days].The patients in laparoscopic group had no other organ injury,bleeding or air embolism.1 case suffered from postoperative intestinal fistula,2 cases got intestinal adhesion,no deaths occurred.During following-up of 2-36 months（mean 18 months）,there was no significant difference in incision planting,local recurrence and distant metastasis between two groups.Conclusions：Laparoscopic colorectal cancer radical resection can achieve the effects of conventional surgery with less trauma and more rapid recovery.

关 键 词：结直肠肿瘤 腹腔镜检查 并发症 复发 

分 类 号：R735.33[医药卫生—肿瘤]