基层医院腹腔镜直肠癌根治术20例

Clinical Analysis of Laparoscopic Radical Resection on 20 Patients with Rectal Cancer in Primary Hospital

目的总结基层医院初期开展腹腔镜直肠癌根治术的临床经验。方法回顾分析2008年10月2009年10月收治的20例腹腔镜直肠癌手术的临床资料。结果 16例顺利完成手术,4例中转开腹,1例发生吻合口瘘。随访2～10个月,均无操作孔种植及肿瘤复发。结论采用手术者已习惯的手术路径,电刀、超声刀相结合游离直肠肠管,直视下裸化和用凯途闭合肠管,缩短了手术学习曲线,降低了手术成本,有助于在基层医院推广。

Objective To summarize the clinical experiences of laparoscopic radical resection of rectal cancer in primary hospital. Methods The clinical data of 20 patients with rectal cancer who received laparoscopic radical rectomy of rectal cancer were analyzed retrospectively. Results Operations of 16 patients were successful, while 4 patients were converted to open operation,postoperative anastamosis leakage occurred in 1 patient. No recurrence was found in 2-10 months follow-up. Conclusion A technique combined with traditional operating routing, electric knife and ultrasonic knife, contour instrument is helpful to laparoscopic radical resection of rectal cancer in primary hospital.