腹腔镜胃肠肿瘤手术特有并发症分析及防治探讨

Analysis of Specific Complications Due to Laparoscopic Resection of Gastrointestinal Cancer and Preventive Measures

[目的]分析腹腔镜辅助胃肠道肿瘤手术患者特有并发症发生情况,探讨其临床原因及相应的预防措施。[方法]选取本院2012年1月至2015年7月入组进行腹腔镜胃肠道肿瘤手术的410例患者为研究对象,分为前、后两阶段进行比较分析。[结果]入组的410例患者中,其中2012年1月至2014年1月279例,2014年7月至2015年7月131例,腹腔镜手术发生特有并发症24例,发生率为5.8%,其中气腹相关并发症3.6%,穿刺相关并发症2.2%,所有并发症均为轻型并发症,未出现重大并发症。[结论]腹腔镜手术特有并发症与手术难度、手术种类及医师手术经验有关,提高临床医生对并发症的认识以及进行正规腹腔镜技能和手术技巧操作训练,可减少并发症的发生。

[Objective]The aim of this study is to analysis the incidence of specific surgery-related complications due to the laparoscopic assisted gastrointestinal cancer operation and to discuss the clinical factors and corresponding prevention measures. [Methods]410 patients with gastrointestinal cancer who received laparoseopic assisted surgery enrolled into this study in our hospital, and divided into two stages before and after the comparative analysis. [ Results ] Of totally 410 patients investigated, 279 Cases received laparoscopie assisted surgery, 131 Cases received laparoscopic assisted surgery. The laparoseopic specific surgery-related complications occurred in 24 cases with the incidence rate of 5.8%, Pneumoperitoneum related complications rate was 3.6%, Puncture related complications rate was 2.2%. ALL the complications are minor complication, none of major complication case. [Conclusion]Laparoseopic specific surgery-related complications was relative with the operative difficulties, operation type and surgical experience. These complications could be reduced through correct understanding of the reasons, improving the skills and techniques and proper training in laparoseopie surgery.