腹腔镜辅助结直肠癌根治术23例报告

Laparoscopic-assisted radical operation of colorecter carcinoma:a report of 23 cases

目的探讨腹腔镜辅助结直肠癌根治手术的可行性、手术方法及应用价值。方法回顾总结2004年9月～2005年11月腹腔镜辅助行结直肠癌根治手术23例的临床资料。结果除3例中转外,余20例均在腹腔镜辅助下顺利完成手术,无手术死亡病例,无术后出血、吻合口瘘,手术平均时间120min,术中平均失血约100ml,术后肠功能恢复时间平均为48h,平均住院时间9d。结论腹腔镜辅助结直肠癌手术具有创伤性小、术后恢复快等优点,可以取得与传统开腹手术同样的治疗效果。

Objective To explore the feasibility, means and value of the laparoscopic-assisted radlical operation of colorectal carcinoma. Methods The experience in laparoscopic-assisted radical operation for 23 cases with colorectal carcinoma were analyzed retrospectively.Results The Laparoscopic-assisted radical operation was performed on 20 cases successfully,and 3 eases converted to open laparotomy, No one died during operation. No anastomotic leakage and postoperative hemorrhage occurred. It took about 2 hours to finish the operation and average 48 hours to restore intestinal function. Intraoperative hemorrhage was 110ml,Hospital average day was 9 days.Conclusion Laparoscopic -assisted surgery for colorectal carcinoma has advantanges for its shorter recovery period and minimal invasion .Keeping the principle of tumor radical cure, the surgeon can get the same effect as the traditional open procedure.