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目的探讨外翻切除吻合技术应用于腹腔镜直肠癌根治术中的临床疗效。方法 2010年5月至2011年5月采用腹腔镜直肠癌根治术诊治30例直肠癌患者,均对其实施腹腔镜直肠癌根治术,并在手术过程中应用外翻切除吻合技术。结果 30例直肠癌患者,均经自然腔道取出肿瘤后实施腹腔镜直肠癌根治术,手术都顺利完成,手术平均时间大约为150 min,术中平均失血量约为150 ml,平均住院时间约为14 d,均治愈出院。所有患者都没有出现直肠破裂、吻合口出血、吻合口狭窄等严重的并发症,术后3个月,均恢复排便控便功能,大便成型,无失禁。结论腹腔镜直肠癌根治术中应用外翻切除吻合技术,操作简单,安全可行,明显提高临床疗效,值得临床推广。
Objective To investigate the clinical efficacy of valgus resection and anastomosis in laparoscopic radical resection of rectal cancer. Methods From May 2010 to May 2011, 30 cases of rectal cancer were diagnosed and treated by laparoscopic radical resection of rectal cancer. All patients underwent laparoscopic radical resection of rectal cancer and applied the technique of resection and anastomosis during the operation. Results All 30 patients with rectal cancer undergone laparoscopic radical resection of rectal cancer by natural laparoscopic surgery were successfully performed. The average operation time was about 150 min. The mean intraoperative blood loss was about 150 ml. The average length of stay was about For 14 days, were cured and discharged. All patients did not appear serious complications such as rectal rupture, anastomotic bleeding and anastomotic stenosis. All patients recovered defecation control and defecation function 3 months after operation, stool formation and no incontinence. Conclusions Laparoscopic resection and anastomosis technique in radical resection of rectal cancer is simple, safe and feasible, and obviously improves clinical curative effect. It is worthy of clinical promotion.