摘要
目的探讨腹腔镜结直肠癌根治术临床疗效。方法回顾性分析我院2009年8月～2012年4月所实施的23例腹腔镜结直肠癌根治术患者的临床资料。结果全组手术均在腹腔镜下完成。行腹腔镜下Dixon术10例,Miles术8例,乙状结肠癌根治术2例,左半结肠癌根治术1例,右半结肠癌根治术2例。手术时间为110～255 min(平均180 min),术中平均失血25 ml。无围手术期死亡者。术后胃肠道功能恢复时间1～2 d。术后至今均获随防,随坊时间为6～24个月。1例术后第8个月出现腹腔广泛转移,其余患者均为无瘤生存。结论腹腔镜结直肠癌根治术具有微创、安全、恢复快等优势,可以替代传统的开腹手术。
Objective To study laparoscopic operation in colorectal cancer. Methods The clinical data of 23 cases of laparoscopic operation in colorectal cancer from August 2009 to April 2012 in huangshan hospital were analyzed retrospectively. Result The laparoscopic operation in colorectal cancer was perfromed in 23 cases successfully, l0 cases were completed in Dixon ,8 cases were in miles ,2 cases by sigmoid colorectomy, 1 case was in left hemieolectomy ,2 cases were in＇right hemieolee- tomy. The operation time was 110 -255 min（ average 180 rain） ,25 ml of blood was lost averagely. Recovery of gastrointeslinal fuction was between 1 ~ 2 days. Mortality rate was zero around operation. 1 case reoccurred in 8 mouth, after operation, other ca- ses healed during followed 6 - 24 months. Conclusion Laparoscopic treatment of colorectal cancer is safe, minimally invasive, faster recovery and feasible if patients were selected.
出处
《临床消化病杂志》
2012年第4期208-210,共3页
Chinese Journal of Clinical Gastroenterology
关键词
结直肠癌
腹腔镜
临床分析
Colorectal cancer
Laparoscopic operation
Clincal analysis
