腹腔镜结直肠肿瘤手术69例报告

Analysis of 69 cases of laparoscopic surgery for colorectal cancer

目的:探讨腹腔镜手术治疗结直肠肿瘤的临床应用价值。方法:回顾分析为69例结直肠肿瘤患者行腹腔镜辅助手术的临床资料。结果:67例顺利完成腹腔镜手术,手术时间平均(135.3±47.4)min,术中出血量平均(126.8±35.9)ml,术后平均住院(9.3±2.1)d,术后无严重并发症发生,短期肿瘤无复发。结论:腹腔镜结直肠手术具有患者创伤小、术后肠道功能恢复快、住院时间短、腹壁疤痕小等优点。对于恶性肿瘤,腹腔镜手术同样可达到开腹手术的根治目的,且复发率、生存率与开腹手术无明显差异。

Objective：To investigate the clinical application of laparoscopic surgery for colorectal cancer. Methods：A retro- spective analysis was performed on the clinical documents of 69 patients with colorectal cancer who underwent treatment of laparoscopic surgery. Resuits： Laparoscopic surgery was performed successfully in 67 patients among 69 patients with colorectal cancer. The mean operative time was （ 135.3 ± 47.4）min, blood loss was （ 126.8 ±35.9） ml, postoperative hospital stay was （9.3 ± 2.1 ） d. There were no evidences of major postoperative complications and tumor recurrence in the short term. Conclusions：Compared to laparotomy ,laparoscopic surgery for colorectal cancer shows clear advantages, such as less trauma, faster recovery of intestinal function, shorter hospital stay, and smaller scar left on abdomen. Meanwhile, laparoscopic surgery can reach the same goal of radical treatment for malignant tumors as the laparotomy,with no differences in tumor recurrence and survival rate.