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目的探讨腹腔镜辅助下结直肠癌根治手术的可行性、手术方法及应用价值。方法回顾性分析滑县人民医院普外科2006年12月至2010年12月在腹腔镜辅助下行结直肠癌根治性切除手术的26例患者的临床资料。结果 26例结直肠癌患者在腹腔镜辅助下全部完成手术,无中转开腹病例,无手术死亡病例。无术后出血、切口感染、吻合口漏、排尿障碍及大便失禁等并发症。术中平均失血(138.6±56.3)ml,手术平均时间(141.8±18.6)min,平均术后肛门排气时间3.5d。术后下床活动并恢复肠道功能时间平均为48h,平均住院时间(7.2±2.8)d。结论腹腔镜辅助下行结直肠癌根治手术具有手术时间短、术中出血量小、手术效果好,患者创伤小、痛苦少、术后恢复快等优点,能获得与传统的开腹手术相同的治疗效果。
Objective To investigate the feasibility, operation method and application value of laparoscopic-assisted radical resection of colorectal cancer. Methods The clinical data of 26 patients undergoing laparoscopic-assisted radical resection of colorectal cancer from December 2006 to December 2010 in General Surgery of Huaxian People’s Hospital were retrospectively analyzed. Results Twenty-six patients with colorectal cancer underwent laparoscopic surgery with complete laparoscopic surgery. There were no cases of laparotomy and no surgical death. No postoperative bleeding, incision infection, anastomotic leakage, micturition disorders and fecal incontinence and other complications. The average blood loss during operation was (138.6 ± 56.3) ml, the average operation time was (141.8 ± 18.6) min and the average postoperative anal exhaust time was 3.5 days. The average time for getting out of bed and recovering intestinal function was 48 hours and the average length of stay was (7.2 ± 2.8) days. Conclusions Laparoscopic-assisted radical resection of colorectal cancer has the advantages of short operation time, small amount of intraoperative blood loss, good operation effect, less trauma, less pain and quick recovery after operation, and can achieve the same treatment as traditional laparotomy effect.