腹腔镜结直肠癌根治术的临床应用

目的探讨腹腔镜行结直肠癌根治术的可行性。方法总结31例经腹腔镜结直肠癌根治术手术时间,出血量,术后肠功能恢复时间,住院时间,淋巴结清扫,术后复发转移及并发症发生的情况。结果31例患者恢复良好,手术时间150～320min,平均222min;术中出血80～300ml;术后平均33h恢复胃肠道功能,平均住院10.5d,淋巴结清扫11个。结论腹腔镜技术在结直肠恶性肿瘤根治术中有广阔的应用前景。

Objective To study the feasibility of Laparoscopic radical operation for colorectal cancer(LROCC). Methods Clinical data of 31 cases in whom LROCC were restrospectively analyzed .The operating time, bleeding volume, postoperative aerofluxus time, hospital stay, number of removed lymphatic nodes, time of relapsed or transferred lymphatic nodes and postoperative complication were compared. Results 31 patients recovered well. There were 150～320 min(average 222min) of operating time, 80～300ml of bleeding volume , 33 hour of aerofluxus time,10.5 days of hospital stay and 11 of (removed) lymphatic nodes . Conclusion The results suggest that Laparoscopic technique have broad prospect for colorectal cancer .