腹腔镜在结直肠癌根治术中的应用  

Application of iaparoscope in radical resection for colorcctal cancer

作　　者：古少东[1] 詹玮玮[1] 李平[1] 夏联山[1] 王霏[1] 褚皓[1] 李明坤[1] 吴柳春[1] 

机构地区：[1]三峡大学第三临床学院普外科,湖北宜昌443002

出　　处：《腹部外科》2011年第4期248-250,共3页Journal of Abdominal Surgery

摘　　要：目的探讨腹腔镜结直肠癌根治术的临床应用价值。方法回顾分析31例腹腔镜下结直肠癌根治术的临床病例资料。结果除1例中转开腹外，其余30例均在腹腔镜下完成手术；其中右半结肠切除术8例、左半结肠切除术4例、乙状结肠切除术5例、直肠癌行直肠前切除术8例、Miles术6例。手术时间150-300min（平均200min）；术中出血量30-200ml（平均100m1），术后1～5d肠鸣音恢复；术后住院时间7～12d（平均9d）；除2例吻合口漏外、无术后出血、伤口感染等并发症；术后随访1-48个月，死亡1例。结论经腹腔镜辅助结直肠癌根治术是治疗结直肠癌的一种微创、安全、有效的手术方式。Objective -To study the clin-ical value of the laparoscope in radical resection for colo- rectal cancer. Methods The clinical data of 31 patients with colorectal cancer receiving laparoscope colorectomy were analyzed retrospectively. Results Only one case was converted to open surgery. In 30 cases receiving laparoscopic operation, 8 cases were subjected to right hemicolorectomy, 4 cases to left hemicolorectomy, 5 cases to sigmoid colorectomy, 8 cases to rectal anterior resection, and 6 cases to Miles operation. The average operative time was 150-300 min, the average intraoperative blood loss was 30-200 mL, intestinal function was restored in 1-5 days, and mean hospital stay was 7-12 days. There were no operative complications such as postoperative bleeding and wound infection, but 2 cases had anastomotic leak. The follow up period ranged from 1 to 48 months. There was one death. Conclu- sion The Iaparoscopic radical colorectomy for colorectal cancer is safe, effective and minimally inva- sive.

关 键 词：腹腔镜 结直肠肿瘤 结直肠外科手术 

分 类 号：R735.37[医药卫生—肿瘤]