腹腔镜下直肠癌根治术35例分析

Experience of laparoscopic procedure for rectectomy in 35 cases of rectal cancer

目的探讨腹腔镜下直肠癌根治术手术的疗效和技巧。方法按全直肠系膜切除术(TME)原则,对35例在腹腔镜下行直肠癌根治术。结果35例患者手术顺利,手术时间140～350min,平均180min,术中出血100～2500ml,平均250ml,住院时间6～15d,平均10d,术后无肠瘘、死亡。结论在改善腹腔镜手术技巧的条件下,腹腔镜手术的全直肠系膜切除术治疗直肠癌是一种微创、可行、安全和有效的技术。

Objective To explore and discuss the skill of total mesorectal excision with minimally invasive approach for rectal cancer under laparoseopy. Methods Total mesorectal excision and colono - anal anastomosis were performed in 35 patients with rectal cancer under laparos- copy. Results Calono - anal anastomosis was successfully performed in 35 cases with total laparoscopy. The operation time was 180 min （ 140 - 350 min） while operative bleeding was 250 ml （ 100 -2 500 ml）. Average hospitalization days were 10 days（6 - 15 ）. There was no complications as intestinal fisula etc and death in patients ocemTed during perioperative period. Conclusion Under the improvement of skill in laparoscopic surgery, laparoscopic surgery of total mesorectal excision in treatment of rectal cancer is a perspective and minimally invasive technique and it is feasi- ble, safe and effective.