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目的总结腹腔镜辅助下结肠双腔造瘘的临床应用。方法收集2005年1月至2007年10月期间收治的18例晚期结直肠癌行腹腔镜手术患者的临床资料,男10例,女8例,年龄36~78岁,术前全结肠镜、钡灌肠、BUS及CT或MR等检查,通过手术探查,明确诊断为晚期直肠癌、姑息手术行结肠双腔造瘘。结果全组均成功完成手术,术中无大出血、无输血,无手术并发症,手术时间35~50min,患者肛门排气时间、下床时间、进食半流质时间分别为16~24h、1~2d、1~2d。结论只要掌握腹腔镜高级操作技术,具备腹腔镜重要手术器械,晚期大肠肿瘤腹腔镜结肠双腔造瘘是可行、有效的,值得推广应用。
Objective To summarize the clinical application of laparoscopic assisted double-lumen colostomy. Methods The clinical data of 18 patients with advanced colorectal cancer who underwent laparoscopic surgery from January 2005 to October 2007 were collected. There were 10 males and 8 females, aged 36 to 78 years old, with preoperative colonoscopy and barium Enema, BUS and CT or MR examination, through surgical exploration, a clear diagnosis of advanced rectal cancer, palliative surgery colon double-lumen fistula. Results All the patients were successfully performed the operation without bleeding, no blood transfusion and no operative complications. The operation time was 35-50 minutes. The time of excretion of the anus, the time of getting out of bed and the feeding of semi-liquid were 16-24 hours and 1-2 days, respectively , 1 ~ 2d. Conclusion As long as the master of advanced laparoscopic operation techniques, with laparoscopic important surgical instruments, laparoscopic colonic double-chamber ostomy of advanced colorectal cancer is feasible and effective, it is worth to promote the application.