腹腔镜辅助结直肠癌切除术17例报告

Laparoscopically assisted resection for 17 cases with colorectal cancers

目的探讨腹腔镜技术在结直肠癌切除术中的应用。方法回顾分析腹腔镜辅助结直肠癌切除术17例的临床资料。结果本组右半结肠、横结肠、左半结肠以及乙状结肠根治性切除各1例,Dixon术10例,Miles术3例;1例左半结肠癌患者探查见左肾有浸润性转移而中转开腹;1例横结肠癌患者探查见肿瘤腹腔广泛转移而放弃手术;全组无手术死亡。术后1例Dukes D期患者因肿瘤转移死亡,1例Dukes C期患者1年后肠道复发,其余患者未见肿瘤复发及转移。结论腹腔镜辅助结直肠癌根治术安全可行。

Objective To explore the clinical application of the laparoscopically assisted resection for coloreetal cancers.Methods The clinical data of 17 cases with colorectal cancer underwent laparoscopically assisted operation were analyzed retrospectively.Results All patients received laparoseopic operation.Right hemicolectomy was performed in 1 case,transverse colectomy was performed in 1 casc,lefthemicolectomy was performed in 1 case,sigmoidectomy was performed in 1 case.Dixon operation was performed in 10 cases and Miles operation was performed in 3 cases.There was no death due to operation.1 case with transverse colon cancer found extensive transplantation in abdominal cavity was converted to open operation. 1 case with lefihemicolon cancer was convevted to laparotomy because of the invision of the left kidney. 1 case with Dukes C stage perioperative recurred one year later and 1 case with Dukes D stage died during perioperative time because of transplantation.Conclusion Laparoscopically assisted resection for colorectal cancers is a feasible and safe procedure.