腹腔镜结直肠癌根治术临床应用（附17例报告）

Clinical application of laparoscopic resection of colorectal cancer （ report of 17 cases）

目的探讨腹腔镜下结直肠癌根治术的临床应用及治疗效果。方法回顾性分析2007年8月至2010年2月间经腹腔镜结直肠癌根治术治疗结直肠癌患者17例患者的临床资料。结果17例均经腹腔镜完成手术，其中右半结肠切除术3例，左半结肠切除术5例，Dixon直肠前切除术7例，Mile手术2例；手术时间112～276min，术中出血85～230ml，切除淋巴结3～9枚；术后2．0～5．5d胃肠功能恢复，住院时间8～12d，平均9．5d；术后无出血、吻合口漏、切口感染等并发症；出院随访6～15个月未见肿瘤复发及腹部切口种植。结论腹腔镜结直肠癌根治术手术安全、可行，创伤小、恢复快、住院时间短，切口并发症少，可较早进行化疗，值得临床推广。

Objective To explore clinical applications and effects of laparoscopic resection of colorectal cancer. Methods The clinical datas of 17 cases with laparoscopic resection of colorectal cancer were collected and retrospective analyzed from Aug. 2007 to Feb. 2010. Results Seventeen cases accepted laparoscopic surgery, including 3 cases of right hemicolectomy, 5 cases of left colon resection, 7 cases of Dixon rectal anterior resection, 2 cases of Mile surgery. Operation time were between 112 to 276 minutes, blood loss were 85 - 230 ml, removal of lymph nodes from 3 to 9. Gastrointestinal function recovered after 2.0 -5.5 days. Hospitalization times were 8 -12 days, average of 9.5 days. No bleeding, anastomotic leakage, wound infection or other complieations was found. No tumor recurrence and abdominal incision cultivation were found with 6 to 15 months follow - up. Conclusions Laparoscopic resection of colorectal cancer surgery is safe and feasible, has less invasive, quicker reeovery, shorter hospital stays, fewer wound complications, earlier chemotherapy could be worthy to be popularized.