腹腔镜直肠癌根治术后近期再手术临床分析  

Clinical analysis of reoperation after laparoscopic radical resection of rectal carcinoma

作　　者：樊瑞智 拾锦 徐溢新[2] 宋虎[2] 徐为[2] 宋军[2] 

机构地区：[1]徐州医学院研究生学院,江苏徐州221004 [2]徐州医学院附属医院胃肠外科,江苏徐州221002

出　　处：《徐州医学院学报》2015年第9期609-611,共3页Acta Academiae Medicinae Xuzhou

摘　　要：目的分析腹腔镜直肠癌根治术后近期再手术的原因并总结其防治措施。方法回顾腹腔镜直肠癌根治术后近期再手术9例患者的临床资料，分析再手术原因，总结防治措施。结果再手术9例患者中，吻合口瘘3例、肠梗阻3例、术后出血1例、输尿管损伤1例和下肢深静脉血栓1例。再手术8例患者痊愈，1例因感染性休克死亡。9例中7例为前3年腹腔镜手术患者。结论腹腔镜直肠癌根治术后近期再手术与术者经验及熟练度欠缺有一定关系。术中探查全面、仔细，操作精细，术后观察仔细，是提高腹腔镜直肠癌疗效及减少术后再手术率的关键。Objective To analyze the reasons of reoperation after laparoscopic radical resection of rectal carcinoma and to summarize preventive measures. Methods Clinical data were collected from of nine patients who underwent reoperation after laparoscopic radical resection of rectal carcinoma before retrospective analysis. Meanwhile, preventive measures were summarized. Results The patients underwent reoperation due to anastomotic fistula （3 patients） , intestinal obstruction （3 patients）, postoperative hemorrhage （1 patient）, ureteral injury （1 patient） and deep venous thrombosis （1 patient） , in which 8 patients were cured, 1 patient died of infective shock. There were seven patients who received laparoscopic surgery within the recent three years. Conclusion Reoperations after laparoscopie radical resection of rectal carcinoma are related to operators＇ skill and experience shortage. The number of reoperations may be prevented through active and effective methods.

关 键 词：腹腔镜手术 直肠癌根治术 并发症 再手术 

分 类 号：R616.2[医药卫生—外科学]