腹腔镜辅助或手助结直肠癌根治术

Laparoscopic radical resection of colorectal carcinoma

目的总结腹腔镜根治术治疗13例结直肠癌的临床经验。方法回顾分析我科2002年11月-2006年4月13例腹腔镜根治术治疗结直肠癌的临床资料。结肠癌10例，Duke’s A期4例，Duke’s B期6例；直肠癌3例，均为Duke’s A期。结果13例结直肠癌根据肿瘤大小分别采取腹腔镜辅助根治术10例，手助腹腔镜根治术3例，均获成功，无中转开腹手术。无死亡病例。随访1—36个月，平均17个月，未见肿瘤复发。结论依据肿瘤大小和部位选择腹腔镜辅助或手助腹腔镜手术治疗结直肠癌，可以保证手术的安全有效性。

Objective To summarize the clinical experience of laparoscopic radical resection of colorectal carcinoma. Methods Clinical data of 13 cases of colorectal carcinoma treated by laparoscopic radical resection from November 2002 to April 2006 in this department were retrospectively analyzed. There were 10 cases of colon cancer （Duke＇s A, 4 cases; Duke＇s B, 6 cases） and 3 cases of rectal cancer （all Duke＇ s A）. Results According to the size of the tumor, the 13 patients were treated with either laparoscopic-assisted operation （10 cases） or hand-assisted laparoscopic surgery （3 cases）. All the operations were performed successfully. No conversions to open surgery were needed and no mortality occurred. Follow-up checkups for 1 - 36 months （mean, 17 months） showed no recurrence. Conclusions In patients with colorectal carcinoma, the selection of laparoscopic-assisted procedure or hand-assisted laparoscopic surgery can not only provide the operative safety and effectiveness, but also enable the operation minimally invasive.