【摘要】 目的探讨腹腔镜行直肠癌根治术的方法、安全性和根治性。方法回顾性分析2003-08~2007-08间,我院18例患者腹腔镜下行直肠癌根治术的临床资料。男12例,女6例。平均年龄59岁(30~78岁)。其中,Miles手术6例,Dixon手术12例。结果18例经腹腔镜完成直肠癌手术,无术中死亡。术中出血量50~200 mL。手术时间145(110~210)min,淋巴结清除数平均10.2个(3~33个),术后无吻合口漏及吻合口出血。平均术后胃肠功能恢复时间1.5 d,住院时间7~16 d。随访时间3~48个月。18例中,2例患者局部复发,1例患者肝转移,失访2例。结论腹腔镜直肠癌根治切除术安全、可靠,术后并发症少,恢复快,达到肿瘤的根治性,近期疗效满意。更多还原

【Abstract】 Objective To evaluate the feasibility and method of laparoscopic radical resection of rectal cancer.Methods Retrospectively analyze the clinical and pathological data of 18 patients(12 male and 6 female) who had been performed laparoscopic radical resection of rectal cancer since 2003.The average age was 59(30～78).All patients performed laparoscopic radical resection of rectal cancer(12 Dixon and 6 Miles).Results There was no fatality during perioperative period and the average time of operation was 145(110～210) minutes with the haemorrhage of 50～200 mL.The average number of resected lymph node was 10.2(from 3 to 33).The bowel function restored within 1.5 days in average.The length of hospital stay was 7～16 days.The time of follow-up for all patients was from 3 to 48 months.1 case metastasized in liver and another 2 case missed from follow-up,and the local recurrence occurred at 2 patients.Conclusion Laparoscopic radical resection of rectal cancer might be feasible and safe with few complications and quick recovery.Furthermoer,it should have the similar effect to the open operation.Therefore,laparoscope might have a fine future of application in the surgical treatment of rectal cancer.更多还原