腹腔镜直肠癌前切除术并发症的处理（附51例报告）

Management of Complications of Rectal Cancer Undergoing Laparoscopic Anterior Resection： a Report of 51 Cases

为探讨腹腔镜直肠癌前切除术并发症的预防及处理，回顾性分析51例腹腔镜直肠癌前切除术的并发症发生及处理情况。结果显示，手术并发症发生率17．6％（9／51）。吻合口漏4例，尿潴留、不射精症、生殖血管损伤、吻合口狭窄、术后腹腔内大出血各1例。非计划二次手术率7．8％（4／51）。全部患者无围手术期死亡病例。结果表明，腹腔镜直肠癌前切除术具有安全、微创的优点，随着手术团队综合能力的提高，其并发症可及时预防并正确处理。

This study was to discuss the prevention and treatment of the complications in laparoscopic anterior resection of rectal cancer, a retrospective study was conducted on 51 cases of rectal cancer undergoing laparoscopic anteror resection.The results showed that the incidence rate of complications was 17.6% （9/ 51） ,4 cases developed anastomotic leakage,one case urinary retention,one ejaculation impotence,one re- productive vascular injury ,one anastomotic stricture,and one postoperative massive bleeding within ab- dominal cavity.The rate of unplanned reoperation was 7.8% （4/51）;no perioperative deaths occurred.It is concluded that laparoscopic anterior resection of rectal cancer is safe and mini-invasive.With the improvement of integration skills of the surgical team, complications may be timely prevented and correctly managed.