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目的探讨结直肠癌患者行腹腔镜辅助手术的可行性。方法总结2010年1月至2011年1月用腹腔镜辅助下腹结直肠癌根治术30例的临床资料。结果 30例均在腹腔镜辅助下顺利完成手术,并遵循全直肠系膜切除(TME)的手术原则,所有标本残端无肿瘤细胞残留、浸润,标本淋巴结数目2~14个。所有患者术后无出血、无吻合口漏、狭窄等并发症,无手术死亡病例。结论腹腔镜辅助下腹结直肠癌根治术是安全可行的,具有创伤小、费用节省,术后恢复快和美容效果好等优点,近期疗效令人满意,远期结果有待进一步观察。
Objective To investigate the feasibility of laparoscopic assisted surgery in patients with colorectal cancer. Methods From January 2010 to January 2011, the clinical data of 30 patients with laparoscopic assisted radical gastrectomy for rectal cancer were summarized. Results All of the 30 cases underwent laparoscopic assisted surgery and followed the principle of total mesorectal excision (TME). All the specimens had no tumor cells remaining and infiltrating on the stump, and the number of lymph nodes was 2 to 14. All patients had no bleeding after surgery, no anastomotic leakage, stricture and other complications, no surgical deaths. Conclusions Laparoscopy-assisted radical nephroureterectomy for rectal cancer is safe and feasible with the advantages of less trauma, lower cost, faster recovery and better cosmetic results. The short-term curative effect is satisfactory, and the long-term results need to be further observed.