腹腔镜结直肠癌术中意外出血的原因及对策  

Causes and Countermeasures of intraoperative accidental bleeding in laparoscopic colorectal cancer surgery

作　　者：施荣昌 韩俊毅 Shi Rongchang;Han Junyi(Department of General Surgery,the People's Hospital of Dayao County,Chuxiong State,Yunnan Province,675400;Department of Gastroenterological Surgery,Shanghai East Hospital 200085)

机构地区：[1]云南省楚雄州大姚县人民医院普外科,675400 [2]上海东方医院胃肠外科,1200085

出　　处：《中国社区医师》2018年第23期33-34,共2页Chinese Community Doctors

摘　　要：目的:探讨腹腔镜结直肠癌手术中意外出血的原因。方法:收治腹腔镜结直肠癌手术患者130例,对术中一次性意外出血≥100 m L的情况进行分析。结果:先天解剖异常、解剖结构辨认不清、欠缺分离技巧是术中意外出血的危险因素(P<0.05)。结论:造成腹腔镜结直肠癌手术术中意外出血的危险因素包括先天解剖变异、解剖结构辨认不清、欠缺分离技巧,应当采取相应的措施予以止血以提高临床止血成功率。Objective:To investigate the causes of intraoperative bleeding in laparoscopic colorectal cancer surgery.Methods:130 patients with laparoscopic colorectal cancer surgery were selected,we analyzed the situation of intraoperative one-off accidental bleeding of more than 100mL.Results:Congenital anatomic abnormalities,unclear anatomical structure and lack of separation techniques were the risk factors for intraoperative bleeding(P<0.05).Conclusion:The risk factors of accidental bleeding in laparoscopic colorectal surgery include congenital anatomic variation,dissection of anatomical structure,and lack of separation skills,and appropriate measures should be taken to improve the success rate of hemostasis.

关 键 词：腹腔镜 结直肠癌 术中意外出血 原因 

分 类 号：R735.34[医药卫生—肿瘤]