经下腹横切口凯途闭合器在腹腔镜直肠癌切除术中的应用  

Application of CONTOUR stapler via a transverse inferior abdominal incision in laparoscopic resection of rectal cancer

作　　者：张磊[1,2] 郭培明 王祯[2] 

机构地区：[1]山东大学医学院,山东济南250012 [2]山东大学附属济南市中心医院

出　　处：《腹腔镜外科杂志》2012年第5期375-377,共3页Journal of Laparoscopic Surgery

摘　　要：目的:探讨经下腹横切口凯途弧形切割闭合器在腹腔镜直肠癌切除术中的应用效果。方法:回顾分析2010～2011年为18例低位直肠癌患者经下腹横切口使用凯途弧形切割闭合器行腹腔镜手术的临床资料。结果:18例手术均获成功,无中转开腹,手术时间150～240 min,平均180 min,术中出血量平均160 ml,无一例吻合口漏。结论:凯途切割闭合器手术效果良好。下腹横切口美观、隐蔽,是腹腔镜直肠癌手术较理想的切口。Objective：To discuss effects of laparoscopic resection of rectal cancer using CONTOUR curved cutter stapler via a transverse inferior abdominal incision.Methods：From 2010 to 2011,clinical data of 18 patients who suffered from inferior rectal cancer and underwent laparoscopic operation using CONTOUR curved cutter stapler via a transverse inferior incision was retrospectively analyzed.Results：All the 18 operations were successfully performed with no conversion to open surgery.The operative time was 150-240 min（average 180 min）,and mean blood loss was 160 ml.No anastomotic leakage was observed.Conclusions：The operation using CONTOUR curved cutter stapler is safe and effective.The inferior transverse ventral incision is hidden and appropriate for laparoscopic operation of rectal cancer with satisfactory cosmetic effect.

关 键 词：直肠肿瘤 直肠外科手术 腹腔镜检查 横切口 

分 类 号：R735.37[医药卫生—肿瘤]