摘要
目的:探讨腹腔镜手术治疗结直肠疾病的适应证、安全性和可行性。方法:回顾分析2007年1月至2010年8月为226例结直肠疾病患者施行腹腔镜手术的临床资料。结果:222例成功完成腹腔镜手术,4例中转开腹。手术时间平均(172±65)min,术中出血量平均(95±41)ml。无死亡病例。随访186例恶性肿瘤患者平均26个月,局部复发4例(2.2%),远处转移5例(2.7%),肿瘤相关死亡7例(3.8%)。结论:腹腔镜手术治疗结直肠疾病安全、可行。腹腔镜手术治疗结直肠癌可取得与开腹手术相同的根治效果。
Objective:To evaluate the indications, safety and feasibility of laparoscopic surgical treatment for colorectal diseases. Methods:The clinical data of 226 patients with colorectal diseases treated by laparoscopie surgery from Jan. 2007 to Aug. 2010 were analyzed retrospectively. Results : Laparoscopic eolorectal operation was successfully performed in 222 cases, and the other 4 cases were converted to open operation. The mean operating time was ( 172 ± 65 ) rain ; the average blood loss was (95 ± 41 ) ml. There was no perioperative death in these cases. The mean follow-up of the 186 patients with malignant colorectal tumor was 26 months,the local recurrence rate,distant metastasis rate and tumor related mortality was 2.2% (n =4) ,2.7% (n =5) and 3.8% (n =7) ,respectively. Conclusions:Laparoscopic operation for colorectal diseases is safe and feasible. Laparoscopic operation is as effective as conventional open surgery in the treatment of colorectal cancer.
出处
《腹腔镜外科杂志》
2011年第10期745-747,共3页
Journal of Laparoscopic Surgery