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目的对腹腔镜辅助结直肠切除手术的疗效进行观察和探讨,并对其临床应用效果进行评价。方法回顾性分析从2007年3月~2010年10月在本院行腹腔镜辅助结直肠切除术的患者22例,分析其临床资料并对这22例患者进行临床观察。记录手术时间、术中血压变化、出血量、并发症、胃肠功能恢复时间及住院时间等临床指标。结果 22例患者中,横结肠癌切除术2例、乙状结肠癌根治切除术4例;右半结肠切除术3例;左半结肠切除术2例;结直肠肿瘤行直肠前切除术10例;Miles术1例。其中,平均手术时间为152.8 min,术中血压正常,出血量平均值为110 ml,术后18~70 h胃肠功能恢复正常,平均住院时间7 d。经1~3个月的随访,22例患者均无肿瘤复发及转移现象的发生。结论腹腔镜辅助结直肠切除术其手术损伤小,住院时间短,术后恢复快,效果好,质量高,是一种安全、有效、值得临床推广的手术方式。
Objective To observe and discuss the effect of laparoscopic assisted colorectal resection and to evaluate the clinical effect. Methods From March 2007 to October 2010, 22 patients with laparoscopic assisted colorectal resection in our hospital were retrospectively analyzed. The clinical data were analyzed and the clinical observation was performed in these 22 patients. Record the operation time, intraoperative blood pressure changes, bleeding, complications, gastrointestinal function recovery time and hospitalization time and other clinical indicators. Results Of the 22 patients, 2 were transrectal colon resection, 4 were treated by radical resection of sigmoid colon, 3 were treated by right-sided colectomy, 2 were treated by left-sided colon resection, 10 were treated by anterior resection of colorectal tumors, and Miles 1 case. Among them, the average operation time was 152.8 min, intraoperative blood pressure was normal, the average amount of bleeding was 110 ml, 18 ~ 70 h postoperative gastrointestinal function returned to normal, the average length of stay of 7 d. After 1 to 3 months of follow-up, 22 patients had no tumor recurrence and metastasis. Conclusions Laparoscopic assisted colorectal resection is a safe, effective and worthy method of clinical operation because of its small operative injury, short hospital stay, fast recovery after operation, good effect and high quality.