腹腔镜结直肠癌手术中出血原因及处理策略

Cause and Management of Hemorrhage During Laparoscopic Surgery for Colorectal Cancer

腹腔镜结直肠癌手术的应用及普及被认为是微创外科发展的革命性成就。越来越多的临床证据显示,相比开腹手术,腹腔镜结直肠癌手术具有创伤小、恢复快、肿瘤根治彻底的优点。术中出血是腹腔镜结直肠癌手术中最常见的并发症,可导致严重后果。基于在腹腔镜结直肠手术实践中的有限经验及体会,本文总结了术中出血的常见原因,提出"止血六步法",以期对腹腔镜手术初学者有所帮助。

＂The application and popularization of laparoscopic colorectal cancer surgery are considered to be a revolutionary achievement in the development of minimally invasive surgery. More and more clinical evidence shows that laparoscopic surgery of colorectal cancer has the advantages of less trauma, quicker recovery and complete tumor eradication compared to open surgery. Hemorrhage during operation is the most common complication in laparoscopic coloreetal cancer surgery, which may lead to serious eonsequences. Thus, based on our limited experience in laparoseopic eolorectal surgeries, we summarized the common cause of bleeding during the operation, and proposed ＂ six- step method＂ for hemostasis, which may be helpful for beginners in laparoscopic surgery.