超声刀和力确刀在腹腔镜低位直肠癌手术中的应用

Using ultracision and LigaSure in laporoscopic radical surgery for low rectal cancer

目的探讨超声刀和力确刀(LigaSure)在腹腔镜低位直肠癌手术中的应用价值。方法运用超声刀和LigaSure行腹腔镜低位直肠癌手术61例,其中Dixon术40例,Miles术21例。结果 61例手术均获得成功,无中转开腹。平均手术时间210 min,平均出血量为200 mL,平均清扫淋巴结个数为15.3枚。无并发症。肿瘤上下切缘无癌组织残留。结论腹腔镜低位直肠癌手术中联合应用超声刀和Ligasure可明显减少术中出血,缩短手术时间,可以达到与开腹手术相同的根治效果。

Objective To explore the value of ultracision and LigaSure in laparoscopic radical surgery for low rectal cancer.Methods Sixty-one cases with low rectal cancer underwent laparoscopic resection using ultracision and LigaSure including 40 cases of rectal anterior resection and 21 cases of abdominal perineal resection（Miles operation）.Results Laparoscopic resection was performed successfully in all patients without conversion to open surgery.The mean operation time was 210 min,average bleeding volume was 200 ml and average number of lymph nodes removed was 15.3.There was no complication after operation and with no residual tumor cells at resection margins（top and bottom） was detected.Conclusions Laparoscopic radical surgery for low rectal cancer using ultracision and LigaSure is not only as effective as the conventional open surgery,but also can significantly reduce bleeding and operation time.