腹腔镜下直肠癌根治术的临床分析(附22例报告)  

Clinical analysis of laparoscopic radical rectal excision——a report of 22 cases

作　　者：孙举来[1] 赵中伟[1] 徐浩[1] 芮翾 汪小万 崔杰[1] 

机构地区：[1]马鞍山市中心医院普外三科,安徽马鞍山243000

出　　处：《中国冶金工业医学杂志》2015年第4期381-382,共2页Chinese Medical Journal of Metallurgical industry

摘　　要：目的探讨腹腔镜下全直肠系膜切除术的临床疗效。方法回顾性分析我科2013年3月至2014年6月22例腹腔镜直肠全系膜切除术患者的临床资料。其中Dixon手术15例,Miles手术6例,Hartmann手术1例。结果 22例均用腹腔镜完成手术,平均手术时间199min,术中平均出血113ml,术后均无严重并发症发生,术后2-4天均恢复胃肠功能,随访1年,无1例肿瘤复发,穿刺部位及造瘘口均无肿瘤种植。结论腹腔镜全直肠系膜切除术具有较高的适用价值,符合肿瘤根治原则,不断提高手术技巧的基础上,腹腔镜直肠癌全系膜切除是可行的。Objective To evaluate the curative effect of laparoscopic total mesorectal excision（TME）.Methods The clinical data of patients with laparoscopic TME in our department from Mar.2013 to Jul.2014 was analyzed retrospectively,including 15 cases performed by Dixon operation,6cases by Miles operation and 1case by Hartmann operation.Results 22 cases were all underwent laparoscopic TME,the mean operative time was 199 min,average intraoperative bleeding was 113 ml.No recurrence was found in all patients,intestinal function restored in 2-4days after surgery without recurring and implantation in the port side and incisions of abdominal wall in the all patients followed up for 1year.Conclusion Laparoscopic TME has high practical value,in conformity with the radical principle of tumor,and is feasible basing on the surgery skill gradually improved.

关 键 词：腹腔镜术 直肠肿瘤 全直肠系膜切除术 

分 类 号：R735.37[医药卫生—肿瘤]