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腹腔镜辅助结直肠癌根治术临床分析
Clinical Analysis of Laparoscopy-assisted Radical Colorectectomy
【摘要】 目的探讨腹腔镜辅助结直肠癌根治术的临床应用价值。方法回顾性分析43例腹腔镜辅助结直肠癌根治术的临床资料,其中右半结肠切除术3例,横结肠切除术1例,左半结肠切除术2例,M iles术12例,D ixon术25例。结果43例均在腹腔镜辅助下完成手术,平均手术时间160m in;术中平均出血量150m l;术后肠功能恢复时间平均1.8d;术后4例出现轻度尿潴留症状,无出血、吻合口漏、切口感染等并发症发生;术后平均住院9d。结论腹腔镜辅助行结直肠癌根治术具有操作安全、创伤小、康复快等特点,可以达到开腹根治术的效果。
【Abstract】 Objective To explore the clinical value of laparoscopy-assisted radical colorectectomy.Methods The clinical data of 43 cases performed laparoscopy-assisted radical colorectectomy,including 3 cases of right hemicolectomy,1 case of transverse colectomy,2 cases of left hemicolectomy,12 cases of Miles,25 cases of Dixon.Results All procedures were performed successfully.The mean operation time,blood loss and evacuating time were 160min,150ml and 1.8d respectively.There were no complications such as bleeding,anastomotic leak and incision infection.Urine retention occurred in 4 cases.The mean postoperative hospitalization was 9d.Conclusion Laparoscopy-assisted radicalcolorectectomy can reach the same effect of open procedures,with the advantages of safety,little trauma and quick recovery.
【Key words】 Colorectal neoplasms; Colorectal surgical procedures; Laparoscopy;
- 【文献出处】 医药论坛杂志 ,Journal of Medical Forum , 编辑部邮箱 ,2009年14期
- 【分类号】R735.35
- 【下载频次】27