论文部分内容阅读
目的探讨腹腔镜下手术治疗直肠癌的方法与可行性。方法 52例直肠癌患者施行腹腔镜直肠癌根治切除术,术中根据肿瘤位置和大小,确定系膜保留位置,为术后盆壁腹膜化重建做好准备,按照标准的直肠全系膜切除手术要求,循解剖间隙实施手术。结果 51例手术均获成功。手术时间110～260min;术后1～3d恢复胃肠功能并下床活动,术后住院6～12d。术后发生输尿管损伤和骶前出血各1例,无手术死亡病例。结论在严格掌握手术指征和规范操作下可顺利完成直肠癌根治手术。
Objective To investigate the method and feasibility of laparoscopic surgery for rectal cancer. Methods Fifty-two patients with rectal cancer underwent radical resection of laparoscopic radical resection of rectal cancer. According to the location and size of the tumor, the location of the mesangial membrane was determined and the peritoneal reconstruction of the pelvic wall was prepared. According to the standard total mesorectal excision Requirements, follow the dissection gap implementation of surgery. Results 51 surgeries were successful. The operative time ranged from 110 to 260 minutes. The gastrointestinal function was recovered 1 to 3 days after operation and got out of bed. The patients were hospitalized for 6 to 12 days. Postoperative ureteral injury and sacral hemorrhage in 1 case, no surgical deaths. Conclusions The operation of radical resection of rectal cancer can be successfully completed under strict control of operation indications and standard operation.