腹腔镜下直肠癌根治术的近期疗效及安全性分析

Evaluation of short-term efficacy and safety of laparoscopic resection for rectal cancer

目的：探讨腹腔镜下直肠癌手术的安全性和近期的疗效。方法：回顾分析了23例腹腔镜下直肠癌手术患者的临床资料。结果：23例顺利完成手术,其手术时间为170-295min,患者术后1-3d开始下床活动,肛门恢复排气时间3~8d,术后病理报告切除淋巴结数2-13枚,术后住院日9-24d,术后发生切口感染1例,吻合口出血1例,全组无手术死亡病例。结论：腹腔镜直肠癌根治术安全可行,患者术后恢复快,具有明显的微创优势。

Objective： To investigate the safety and short-term efficacy of laparoscopic Surgery in patients with rectal cancer. Methods： The clinical data of 23 patients with rectal cancer treated were retrospectively analyzed. Results： 23 cases received laparoscopic operation successfully. The operation time was from 170 to 295 min, ambulation began within 1-3 days postoperatively, The time needed for the recovery of gastrointestinal functions was from 3 to8 days, the number of lymph nodes of rectal cancer was from 2 tol3, the average postoperative hospitalization days was from 9 to 24 days, The wound infection occurred in 1 cases, anastomotic bleeding in 1. There was no death case in operation period. Conclusion： laparoscopic surgery for rectal cancer is feasible and safe, quick postoperative recovery, which has the obvious advantage of minimally invasive.