悬吊式免气腹腹腔镜结直肠癌根治术临床研究

The difficulties and strategies of gasless laparoscopic radical resection for colorectal cancer by an abdominal wall-lift method

目的探讨悬吊式免气腹腹腔镜结直肠癌根治手术的可行性。方法回顾性分析43例悬吊式免气腹腹腔镜结直肠癌根治手术的临床资料,分析手术难点。结果43例手术均成功完成,无中转及死亡病例。手术时间120～240min,平均180min,术中出血小于150mL。术后恢复顺利,43例随访4～10个月,平均7个月,无并发症发生。结论悬吊式免气腹腹腔镜结直肠癌根治手术避免了气腹对人体血流动力学的影响,扩大了腹腔镜直肠癌手术的适应证,是一种安全、可行、经济的手术方法。

Objective To evaluate the application of gasless laparoscopic radical resection for colorectal cancer by an abdominal wall-lift method. Methods The clinical data of 43 cases undergone gasless laparoscopic radical resection for colorectal cancer by an abdominal wall-lift method were analyzed retrospectively. Results 43 patients operations were successfully performed. There was no conversion and death case. The mean operation time was 180 minutes （120 to 240 minutes） and average blood loss was less than 150ml. All patients were followed up from 4 to 10 months,and 43 cases had no recurrence. Conclusion The gasless laparoscopic radical resection for colorectal cancer procedure is safe,feasible and low-cost.