腹腔镜结直肠癌根治术吻合口漏临床分析

Clinical analysis of anastomotic leakage after colorectal cancer laparoscopic-assisted surgery

目的 探讨腹腔镜下结直肠癌根治术吻合口漏的发生原因及其预防方法.方法 采集100例腹腔镜结直肠癌根治术患者的临床资料进行回顾分析.结果 所有患者均成功施行手术,发生吻合口漏5例（5％）,吻合口漏与吻合口张力过大、吻合口血运不足,肿瘤位置、大小,手术时间,术前放疗,性别年龄,肥胖、糖尿病、低蛋白血症等有关.结论 腹腔镜下结直肠癌手术近期疗效显著,随着腹腔镜技术及操作的不断提高,只要采取措施得当,吻合口漏的发生是可以预防及减少的.

Objective To explore the causes and prevention methods of postoperative anastomotic leakage after colorectal cancer laparoscopic-assisted surgery.Methods 100 patients with colorectal cancer underwent laparoscopic-assisted surgery,the data was collected and retrospectively analyzed.Results All patients were successfully done,there were 5 cases with anastomotic leakage （5%）.There were significant correlations of anastomotic leakage with too strong anastomotic tension,insufficiency anastomotic blood supply,tumor location,size,operation time,preoperative radiotherapy,gender,age,obesity,diabetes,hypoalbuminemia,and so on.Conclusion The laparoscopic-assisted surgery of colorectal cancer has a curative efficacy,with the continuous improvement of laparoscopic technique and operation,as long as the proper measures were taken,the occurrence of anastomotic leakage can be prevented and reduced.