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目的探讨腹壁悬吊免气腹腹腔镜下Miles术的可行性及特点。方法分析28例在全麻下应用腹壁悬吊装置实施腹壁悬吊行免气腹腹腔镜下Miles术治疗的直肠癌患者的临床资料。结果 28例患者均手术成功,平均手术时间为160 min(120～220 min),术后未出现严重的并发症,随访8～44个月未出现肿瘤复发。结论腹壁悬吊免气腹腹腔镜下Miles术在技术上是可行的、安全的,同时避免了气腹对人体的影响,是值得推广的。
Objective To investigate the feasibility and characteristics of airless abdominal pneumoperitoneum Miles assisted by abdominal wall suspension. Methods The clinical data of 28 patients undergoing rectal pneumoperitoneum with pneumoperitoneal laparoscopic Miles underwent abdominal wall suspension under general anesthesia were analyzed. Results All the 28 patients were operated successfully. The average operation time was 160 min (120-220 min). No serious complications occurred after operation. No tumor recurrence occurred after 8 to 44 months of follow - up. Conclusion Laparoscopic pneumoperitoneum Laparoscopic Laparoscopic Miles is technically feasible, safe, and at the same time to avoid the impact of pneumoperitoneum on the human body, is worth promoting.