经腹腔镜结肠直肠癌切除术  

Laparoscopic colorectomy for colorectal cancer

作　　者：谭敏[1] 郭宝贤 吴志棉[1] 陈国泰[1] 郑朝旭[1] 赵振献[1] 

机构地区：[1]中山大学附属第一医院微创外科,广州510080 [2]香港基督教联合医院外科

出　　处：《中华外科杂志》2002年第10期769-772,共4页Chinese Journal of Surgery

摘　　要：目的　探讨电视腹腔镜手术在治疗结肠直肠癌中的应用、手术方法及临床效果。方法　利用腹腔镜技术对 78例结肠直肠癌的患者进行手术 ,并对手术操作、并发症的出现及术后恢复等情况进行总结性分析。　结果　 78例患者采用电视腹腔镜方法完成手术 ,无因术后并发症而死亡的病例。经随访 ,1、3、5年生存者分别为 2 1、17、8例 ;术后因肿瘤转移死亡 11例 ,其他原因死亡 2例 ;失访 10例 ;余 9例为术后不足 1年时间的患者 ,除 1例术后 11个月发生肿瘤肝转移需行手术切除外 ,其他 8例尚未见肿瘤的复发及转移。　结论　只要掌握好腹腔镜的操作技巧及结肠直肠癌切除的手术指征 ,用腹腔镜的方法治疗结肠直肠癌不但是可行的 ,而且具有广阔的前景。Objective To evaluate the result of laparoscopic colorectomy in treatment of colorectal cancer. Methods Laparoscopyic colorectal surgery was performed in 78 patients with colorectal cancer. Operative procedures, complications and postoperative recovery were studied. Result None of the 78 patients died of laparoscopic colorectal surgery or complications. Eleven patients died from tumor metastasis and 2 from other causes. Twenty one, 17,8 patients for 1, 3, 5 years survived respectively. In nine patients who had received operation less than 1 year, no tumor recurrence or metastasis was found except in 1 patient 11 months after operation. Conclusion Laparoscopic colorectal cancer resection is essential to colectomy for colon and rectum cancer when indicated.

关 键 词：腹腔镜 直肠癌 结肠癌 肿瘤切除术 

分 类 号：R735.3[医药卫生—肿瘤]