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目的探讨腹腔镜下全直肠系膜切除术的临床疗效。方法回顾性分析我科2013年3月至2014年6月22例腹腔镜直肠全系膜切除术患者的临床资料。其中Dixon手术15例,Miles手术6例,Hartmann手术1例。结果 22例均用腹腔镜完成手术,平均手术时间199min,术中平均出血113ml,术后均无严重并发症发生,术后2~4天均恢复胃肠功能,随访1年,无1例肿瘤复发,穿刺部位及造瘘口均无肿瘤种植。结论腹腔镜全直肠系膜切除术具有较高的适用价值,符合肿瘤根治原则,不断提高手术技巧的基础上,腹腔镜直肠癌全系膜切除是可行的。
Objective To investigate the clinical effect of laparoscopic total mesorectal excision. Methods The clinical data of 22 cases of laparoscopic total mesorectal excision in our department from March 2013 to June 2014 were retrospectively analyzed. Among them, 15 cases were Dixon operation, 6 cases were Miles operation and 1 case was Hartmann operation. Results All of the 22 patients underwent laparoscopic surgery with an average operation time of 199 min and an average intraoperative blood loss of 113 mL. No serious complications occurred after operation. The gastrointestinal function was restored within 2 to 4 days after operation. All patients were followed up for 1 year without any tumor Recurrence, puncture site and stoma no tumor implantation. Conclusion Laparoscopic total mesorectal excision has high value, in line with the principle of radical tumor surgery, continuous improvement of surgical techniques based on the laparoscopic total mesorectal cancer resection is feasible.