结肠多源癌腹腔镜下改良全大肠切除治疗2例并文献复习  

Modified laparoscopic total colorectal resection for 2 cases of multi-located colorectal cancer and review of literature

作　　者：姬社青 马飞 张斌 刘英强 花亚伟 陈小兵 李克 

机构地区：[1]郑州大学附属肿瘤医院普外科,郑州450008

出　　处：《医药论坛杂志》2014年第7期32-33,36,共3页Journal of Medical Forum

摘　　要：目的观察腹腔镜下逆向全结肠切除,回肠直肠吻合治疗结肠多源癌的短期效果并近年文献复习。方法应用腹腔镜对2例结肠多源癌患者行全结肠直肠切除,回肠直肠吻合。观察手术安全性、术后恢复情况以及短期随访。结果 2例手术均顺利完成,手术平均时间237.5min,平均出血115ml,辅助切口平均长度7.5cm,术后病人平均排气时间为4.5d,术后平均住院天数8d。结论腹腔镜下全结直肠切除术治疗结肠多源癌是安全、可行的,而且逆向手术方式可降低手术难度,有利于血管根部淋巴结清扫,对于具备开腹手术经验的腔镜外科医生是一个选择。Objective To observe short -term effects of the counterclockwise laparoscopic subtotal colectomy,ileal -rectal anastomosis of multi - located colorectal cancer, and review of literature. Methods Two cases of multi - located colorectal cancer undergone laparoscopic total colorectal resection,ileal -rectal anastomosis, surgical safety, postoperative recovery, and short follow- up were evaluated. Results Two cases were successfully completed surgery,operative average time 237. 5min,average blood loss 100ml ,auxiliary incision average length 7. 5cm,postoperative discharge time was 4. 5 days ,postoperative hospital stay 8 days. Conclusion Counterclockwise laparoscopic total colectomy,ileal rectal anastomosis of multi - located colorectal cancer is an alternative for experienced surgeon to open surgery. Counterclockwise method can reduce the difficulty of operation,long -term clinical efficacy remains to estimate.

关 键 词：腹腔镜手术 结肠多源癌汐h科治疗 

分 类 号：R735.3[医药卫生—肿瘤]