论文部分内容阅读
目的探讨运用腹腔镜外科技术根治性切除直肠恶性肿瘤的可行性与临床意义。方法回顾性分析运用腹腔镜技术根治性切除57例直肠肿瘤的手术方式与临床资料,其中高位直肠癌8例,中位直肠癌19例,低位直肠癌21例,肛管癌9例。结果55例在全腹腔镜或其辅助下完成根治性切除术,2例中转开腹手术;手术时间平均(136±25)min,平均出血量(85±38)mL;术后无伤口感染、腹腔出血、吻合口漏、狭窄;术后病理组织学检查,肿瘤标本切除长度(26.35±13.26)cm,切除淋巴结数目(12.35±9.67)个;随访4￣36个月,2例术后14个月、18个月腹腔广泛转移死亡。结论运用腹腔镜外科技术根治性切除直肠癌具有创伤小、恢复快,且在理论和技术上是安全可行的,近期疗效可,值得推广。
Objective To explore the feasibility and clinical significance of radical resection of rectal cancer using laparoscopic surgery. Methods Retrospective analysis of laparoscopic radical resection of 57 cases of rectal cancer surgical methods and clinical data, including 8 cases of high rectal cancer, 19 cases of rectal cancer, 21 cases of low rectal cancer, 9 cases of anal canal cancer. Results Fifty-five patients underwent radical resection under complete laparoscopy or their assistants, and 2 patients underwent laparotomy. The average operation time was (136±25) min, and the average blood loss was (85±38) mL. There was no postoperative wound infection. Abdominal bleeding, anastomotic leakage, stenosis; postoperative histopathological examination, tumor specimen length (26.35 ± 13.26) cm, number of lymph nodes removed (12.35 ± 9.67); follow-up 4 ~ 36 months, 2 cases 14 postoperative Months and 18 months died of extensive metastasis in the abdominal cavity. Conclusion The radical resection of rectal cancer with laparoscopic surgery has the advantages of less trauma and quicker recovery, and it is theoretically and technically safe and feasible. The short-term curative effect is worthy of promotion.