腹腔镜辅助下直肠癌手术51例体会

Laparoscopic assistant operation for 51 cases with rectal cancer

目的探讨腹腔镜辅助下直肠癌根治术的手术方法及疗效。方法回顾分析2007年3月至2010年10月我科51例直肠癌患者行腹腔镜辅助下直肠癌根治术的临床资料。结果 51例均顺利完成手术,平均手术时间150min,平均出血80mL,术后肠道功能平均恢复时间48h,平均住院9d;无围手术期死亡及并发症发生;术后随访1～36个月,切口及Trocar处未见肿瘤种植转移。结论腹腔镜直肠癌根治术患者创伤小、出血少、痛苦轻、并发症少、康复快,是治疗直肠癌安全有效的方法。

Objective To explore laparoscopic assistant operation for rectal cancer surgical methods and clinical effects.Methods A retrospective analysis of 51 patients undergone laparoscopic radical operation for rectal cancer from Mar 2007 to October 2010 in our section office were done.Results 51 cases had the successful completion of surgery,the average operative time was 150 min,mean blood loss was 80 ml,the average recovery time of postoperative bowel function was 48h,average length of stay was 9 d;no perioperative death and complications occurred;postoperative follow-up from 1 to 36 months,no tumor cultivation in incision and Trocar,one cases recurrenced.Conclusion Laparoscopic radical rectal cancer surgery can be safely performed in patients with colorectal cancer which have light trauma,less blood loss,less pain,few complication and rapid recovery.