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目的总结腹腔镜直肠癌根治术的临床经验。方法对2009年8月—2012年5月期间行腹腔镜直肠癌根治术36例患者的临床资料进行回顾性分析。结果手术均获成功。无中转开腹,手术时间为170～280 min,平均(200±15)min。术中出血60～200 mL,平均约(120±15)mL,无输尿管损伤,吻合口漏、吻合口狭窄、大小便失禁等并发症发生。平均住院(12±1)d。结论腹腔镜直肠癌根治术安全可行,具有术野广,患者创伤小,术后康复快,并发症少,住院时间短等优点。
Objective To summarize the clinical experience of laparoscopic radical resection of rectal cancer. Methods The clinical data of 36 patients undergoing laparoscopic radical resection of rectal cancer between August 2009 and May 2012 were analyzed retrospectively. The results of surgery were successful. No transit laparotomy, operation time was 170 ~ 280 min, an average of (200 ± 15) min. Intraoperative bleeding 60 ~ 200 mL, an average of about (120 ± 15) mL, no ureteral injury, anastomotic leakage, anastomotic stenosis, incontinence and other complications. The average hospitalization (12 ± 1) d. Conclusions Laparoscopic radical resection of rectal cancer is safe and feasible. It has the advantages of wide surgical field, small trauma, rapid postoperative recovery, fewer complications and shorter hospital stay.