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目的评价腹腔镜技术在结直肠癌根治术的临床应用价值。方法对77例腹腔镜下结直肠癌根治术患者的临床资料进行回顾性分析。结果75例(97.4%)均在腹腔镜下完成手术,其中右半结肠切除术12例、横结肠切除术2例、左半结肠切除术12例、乙状结肠切除术8例、Dixon术19例、Parks术8例、Miles术12例、结肠次全切除术2例、全结肠切除术2例。2例中转开腹行Miles术。无围手术期死亡及出血和肠瘘等并发症。术后胃肠功能恢复时间1-4(平均2)d。术后随访时间2-42(平均15)个月;死亡2例。结论腹腔镜下结直肠癌根治术操作安全、创伤小,可达到根治性切除的效果。
Objective To evaluate the clinical value of laparoscopy in the treatment of colorectal cancer. Methods The clinical data of 77 patients undergoing laparoscopic radical resection of colorectal cancer were analyzed retrospectively. Results All of the 75 cases (97.4%) underwent laparoscopic surgery. Among them, there were 12 cases of right colon resection, 2 cases of transverse colon resection, 12 cases of left colon resection, 8 cases of sigmoid resection, 19 cases of Dixon, 8 cases, Miles operation in 12 cases, subtotal colon resection in 2 cases and total colon resection in 2 cases. Two patients underwent open conversion Miles. No perioperative deaths and complications such as bleeding and intestinal fistula. Postoperative gastrointestinal function recovery time 1-4 (average 2) d. Postoperative follow-up time 2-42 (average 15) months; 2 died. Conclusions Laparoscopic radical operation of colorectal cancer is safe, less invasive and can achieve the effect of radical resection.