腹腔镜结直肠手术48例临床分析  

Clinical analysis on 48 cases with laparoscopic colorectal surgery

作　　者：余守江[1] 王国兴[1] 

机构地区：[1]河南省平顶山市第一人民医院普外一科,河南平顶山467000

出　　处：《中国医药科学》2013年第23期174-176,共3页China Medicine And Pharmacy

摘　　要：目的：探讨腹腔镜结直肠手术的临床应用价值。方法回顾性分析2009年7月～2013年1月我院48例腹腔镜结直肠手术的临床资料，并进行经验总结。结果3例中转开腹手术。术中失血量约为50～220mL，平均（128.33±54.32）mL；肠功能恢复时间为24～89h，平均（48.52±12.85）h；住院时间为8～15d，平均住院时间（11.65±1.31）d。术后腹壁切口疝2例，吻合口出血1例，吻合口狭窄1例，无切口感染、肠漏及手术死亡病例。结论腹腔镜结直肠手术安全可行，具有腹壁切口小、感染几率低、肠道功能恢复快及住院时间较短等优点。Objective To explore the clinical application value of the laparoscopic colorectal surgery. Methods The clinical data of 48 cases with laparoscopic colorectal surgery from July 2009 to January 2013 in our hospital were retrospectively analyzed,and the experiences were summaried. Results Among 48 cases, there were three cases who were converted to laparotomy.The intraoperative blood loss was about 50-220mL, and the average was （128.33±54.32） mL.The intestinal function recovery time was 24-89 hours,and the average was （48.52±12.85）h.The length of hospital stay was 8-15 days,and the average was （11.65±1.31）d.There were two cases of postoperative incisional hernia of abdominal wall,one case of anastomotic bleeding and one case of anastomotic stenosis,but no wound infection, intestinal leakage and operative death cases. Conclusion Laparoscopic colorectal surgery is safe and feasible,which has the advantages of small incision in the abdominal wall,low risk of infection, quick recovery of intestinal function and shorter length of hospital stay.

关 键 词：腹腔镜 结直肠肿瘤 结直肠手术 

分 类 号：R735.3[医药卫生—肿瘤]