论文部分内容阅读
目的探讨腹腔镜与折刀位联合应用于Miles术的安全性及优势。方法回顾性总结我科2010年7月至2011年7月实施的腹腔镜直肠癌Miles术30例,手术先采用折刀位,完成会阴部手术,再行采用平卧位,完成腹腔内手术。结果手术均获得成功,无中转开腹,手术时间(1.5±0.3)h,术中出血量(80.1±20.0)ml,术后肠功能恢复时间(22.1±7.5)h,术后住院天数(6.1±2.2)d。随访3个月至今,患者生活质量良好。结论腹腔镜Miles术中应用折刀位安全可行,具有优势。
Objective To explore the safety and advantage of laparoscopic combined with folding knife in Miles operation. Methods Retrospectively reviewed 30 cases of Miles operation of laparoscopic rectal cancer performed in our department from July 2010 to July 2011. The operation was first to use the knife position to complete the perineal operation and then use the supine position to complete the intraperitoneal operation. Results The operation was successful and no laparotomy was performed. The operative time (1.5 ± 0.3) h, blood loss (80.1 ± 20.0) ml, postoperative intestinal function recovery time (22.1 ± 7.5) h, postoperative hospital stay (6.1 ± 2.2) d. After 3 months of follow-up, patients have good quality of life. Conclusions Laparoscopic Miles surgery is safe and feasible, and has advantages.