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目的探讨腹腔镜结直肠癌手术并发症的原因及治疗。方法回顾性分析2009年1月至2013年6月本院59例腹腔镜结直肠癌手术的临床资料。结果 59例患者均痊愈出院,无死亡病例。行直肠前切除术(Dixon手术)25例,乙状结肠切除术14例,腹会阴联合直肠切除术(Miles手术)9例,右半结肠切除术8例,左半结肠切除术3例。57例完成腹腔镜手术,2例(3.4%)中转开腹。术中并发症5例(8.5%),腹腔出血3例,肠破裂2例;术后早期并发症4例(6.8%),2例吻合口瘘,1例小切口感染,1例会阴部切口裂开;1例(1.7%)切口肿瘤种植。结论腹腔镜结直肠癌手术是安全、有效的,术前严格掌握手术适应证,术中精细地操作,将有效的降低手术并发症的发生。
Objective To investigate the causes and treatment of complications of laparoscopic colorectal cancer surgery. Methods The clinical data of 59 patients with laparoscopic colorectal cancer in our hospital from January 2009 to June 2013 were analyzed retrospectively. Results 59 patients were cured and discharged without death. 25 cases underwent Dixon procedure, 14 cases underwent sigmoid resection, 9 cases underwent abdominal perineal rectal resection (Miles operation), 8 cases underwent right half colon resection and 3 cases left left colon resection. 57 cases completed laparoscopic surgery, 2 cases (3.4%) converted to laparotomy. There were 5 cases of intraoperative complications (8.5%), 3 cases of intraperitoneal hemorrhage and 2 cases of intestinal rupture. Early postoperative complications occurred in 4 cases (6.8%), 2 cases of anastomotic fistula, 1 case of small incision infection and 1 case of perineal incision Open; 1 case (1.7%) incision tumor implantation. Conclusions Laparoscopic colorectal cancer surgery is safe and effective. Before surgery, it is necessary to strictly observe the indication of operation. Fine operation during operation will effectively reduce the occurrence of surgical complications.