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目的探讨腹腔镜下直肠癌根治术左侧腹外斜肌斜切口与下腹正中切口两种切口的优劣。方法回顾性分析郑州大学附属肿瘤医院2011年6月—2012年6月行腹腔镜下直肠癌根治术32例的临床资料。结果 32例手术均顺利完成,平均手术时间,左侧腹外斜肌斜切口(140±30)min、下腹正中切口(110±30)min,平均出血量为(40±10)ml。左侧腹外斜肌斜切口平均长度4 cm,下腹正中切口平均5 cm,术后肠蠕动恢复时间平均1 d,术中无吻合口漏,术后发现吻合口出血及吻合口漏各1例。无术中、术后死亡病例。结论腹腔镜下直肠癌根治术选择左侧腹外斜肌斜切口与下腹正中切口两种不同的切口无明显优劣,但可根据患者个体情况的不同做不同的选择。
Objective To investigate the advantages and disadvantages of two types of incision in the left lateral abdominal oblique oblique incision and the inferior abdominal incision in laparoscopic radical resection of rectal cancer. Methods The clinical data of 32 patients undergoing laparoscopic radical resection of rectal cancer from June 2011 to June 2012 were retrospectively analyzed. Results All the 32 surgeries were completed successfully. The average operation time was 140 ± 30 minutes on the left oblique oblique incision and 110 ± 30 minutes on the lower abdomen. The mean bleeding volume was 40 ± 10 ml. The average length of oblique incision on the left lateral oblique was 4 cm and the median incision on the lower abdomen was 5 cm on average. The mean recovery time of postoperative intestinal peristalsis was 1 d on average. There was no anastomotic leakage during operation. One case of anastomotic leakage and anastomotic leakage were found . No surgery, postoperative deaths. Conclusion Laparoscopic radical resection of the left external oblique oblique incision and the inferior incision in the middle incision with two different incision no obvious advantages and disadvantages, but according to the individual patients to do different options.