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目的 :介绍腹腔镜直肠癌根治术的可行性及适应证。方法 :腹腔镜下手术操作与传统开腹手术方式步骤相同 ,并可以锐性分离产生一个不间断的、光滑的完整标本。结果 :6例患者恢复良好 ,术中无脏器损伤 ,平均出血量 2 4 0ml。住院时间平均 12 .6d。生活质量好 ,无复发转移。结论 :腹腔镜直肠癌根治术可以达到传统手术的疗效 ,甚至有一定优势。但必须严格掌握其手术适应证 ,避免盲目追求镜下完成 ,另外手术技术要求高 ,器械复杂 ,费用较贵 ,不利于现阶段广泛开展。
Objective: To introduce the feasibility and indications of laparoscopic radical resection of rectal cancer. Methods: Laparoscopic procedures are the same as those of conventional laparotomy procedures and allow sharp separation to produce an unbroken, smooth, complete specimen. Results: Six patients recovered well without intraoperative injury, with an average blood loss of 240ml. The average hospital stay was 12.6 days. Good quality of life, no recurrence and metastasis. Conclusion: Laparoscopic radical resection of rectal cancer can achieve the effect of traditional surgery, and even have some advantages. However, we must strictly control its indications for surgery to avoid the blind pursuit of the microscope to complete the other high technical requirements, equipment complexity, more expensive, is not conducive to extensive development at this stage.