腹腔镜乙状结肠癌根治术15例  

Clinical analysis on laparoscopic radical operation for 15 cases sigmoid colon cancer

作　　者：吴志明[1] 邱海江[1] 王焕根[1] 方孙阳[1] 孟兴成[1] 储修峰[1] 

机构地区：[1]中国医科大学绍兴医院普外科,浙江绍兴312030

出　　处：《中华腔镜外科杂志（电子版）》2013年第3期30-32,共3页Chinese Journal of Laparoscopic Surgery(Electronic Edition)

摘　　要：目的探讨腹腔镜乙状结肠癌根治术的临床价值。方法回顾性分析2008年5月至2013年5月腹腔镜下乙状结肠癌根治术15例的临床资料。结果全组15例均在腹腔镜下完成手术,其中9例经体外行端端吻合,5例经肛门行直肠-乙状结肠端端吻合,1例行降结肠端造瘘。术后无吻合口瘘、吻合口出血等并发症发生,手术时间(192.8±33.5)min,平均186.8 min,术中出血量(68.5±14.6)ml,平均59.6 ml,术后住院时间(8.6±2.5)d,平均9.1 d。结论腹腔镜乙状结肠癌根治术手术创伤小、术后恢复快,是治疗乙状结肠癌安全、可行的方法,但术者需有丰富的腹腔镜手术和结肠外科手术经验。Objective To discus on the clinical values of laparoscopic radical operation on sigmoid colon cancer. Methods Retrospective analysis on 15 cases of sigmoid colon cancer by laparoscopic radical operation. Results All of the patients fulfilled the sigmoid colon cancer operation by laparoscope ,9 cases of them underwent end-to-end anastomosis in vitro . 5 cases underwent end-to-end anastomosis of rectum to sigmoid colon,1 case received stoma on descending colon ,without the complications such as anastomotic stoma and hemorrhage, operation time lasted 192.8 ±33.Stain,and 186.8min on average bleeding volume during operation is 68.5±14.6ml,59.6 ml on average hospital stay time after operation is 8.6±2.5d,9.1d on average. Conclusion Laparoscopic radical operation on sigmoid colon cancer is kind of available ,safe method for colon cancer with micro injury and quick recovery form operation, but the surgeons should have abundant experiences of laparoscopic and colonic surgery.

关 键 词：腹腔镜 乙状结肠癌 手术 治疗 

分 类 号：R735.3[医药卫生—肿瘤]