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目的观察腹腔镜直肠癌根治术在外翻切除吻合技术中的方法。方法选取2011年1月至2012年1月收治的50例直肠癌患者,给予腹腔镜直肠根治术,在手术中施加外翻切除吻合技术,观察并记录患者的平均失血量、住院时间、手术时间与并发症情况。结果所有患者均顺利完成手术,平均失血量为140 ml,住院时间13 d,手术平均时间140 min,全部治愈出院,均未出现吻合口狭窄、出血,直肠破裂等并发症。术后3个月,患者的排便与控便功能均已恢复,未发生失禁。结论针对腹腔镜直肠癌根治术患者在术中另施加外翻切除吻合技术,具有可靠、安全、易于操作的特点,可取得良好的临床效果,值得临床推广应用。
Objective To observe the method of laparoscopic radical resection and anastomosis in rectal cancer. Methods Fifty patients with rectal cancer who were admitted from January 2011 to January 2012 were treated by laparoscopic radical mastectomy. Laparotomy and anastomosis techniques were applied during the operation. The mean blood loss, length of hospital stay, operation time And complications. Results All the patients underwent surgery successfully. The mean blood loss was 140 ml, the hospitalization time was 13 days, and the average operation time was 140 minutes. All patients were cured and discharged without complications such as anastomotic stenosis, hemorrhage and rectal rupture. At 3 months after operation, defecation and defecation were restored without incontinence. Conclusions For patients undergoing laparoscopic radical resection of the rectal cancer, additional valgus resection and anastomosis techniques are applied in the operation, which is reliable, safe and easy to operate. It can achieve good clinical results and is worthy of clinical application.