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目的探讨腹腔镜下直肠癌根治手术的临床应用方法和操作要点。方法对2006年9月~2007年3月的15例腹腔镜下直肠癌根治手术过程总结临床治疗效果。结果15例均在腹腔镜下完成手术,术中出血20~80 mL,无手术副损伤和并发症,术后胃肠功能恢复时间1~4 d(平均2 d)。结论腹腔镜下直肠癌根治是很有特点的手术,操作安全、创伤小。沿正确解剖间隙分离是保证手术顺畅,减少出血或副损伤的关键,可达到根治性切除的效果。
Objective To investigate the clinical application and operation of laparoscopic radical resection of rectal cancer. Methods From September 2006 to March 2007, 15 patients undergoing laparoscopic radical resection of rectal cancer underwent radical surgery. Results All the 15 cases underwent laparoscopic surgery. The intraoperative bleeding ranged from 20 to 80 mL. No side effects and complications were found. The postoperative gastrointestinal function recovery time was 1 to 4 days (mean, 2 days). Conclusion Laparoscopic radical resection of rectal cancer is a very special operation, safe operation and less trauma. Separation along the correct anatomical space is to ensure smooth operation, reduce bleeding or vice injury, the key to achieve the effect of radical resection.