基层医院开展腹腔镜结直肠癌手术46例的体会

Experience of 46 cases of laparoscopic colorectal cancer surgery in primary hospital

目的：探讨如何在基层医院开展腹腔镜结直肠癌手术。方法：回顾性分析46例腹腔镜结直肠癌手术的临床资料。结果：所有患者均通过腹腔镜完成手术，2例直肠癌手术患者出现吻合口漏，1例直肠癌低位吻合出现吻合口坏死，手术时间(170±45.7)min；术中出血量(152.6±27.9)mL；淋巴结清扫数目(15.8±2.9)枚；住院时间8～15d；随访5～26个月，2例患者术后半年内出现肝转移。结论：腹腔镜结直肠癌根治术具有创伤小、恢复快等优点。

Objective:To explore how to carry out laparoscopic colorectal cancer surgery in primary hospital.Methods:The clinicaldata of 46 cases of laparoscopic colorectal cancer surgery were retrospectively analyzed.Results:All patients were completedsurgery by laparoscope.2 cases of rectal cancer surgery patients had anastomotic leakage,1 case of low rectal anastomosis hadanastomotic necrosis.The operation time was (170±45.7)minutes,the intraoperative blood loss was (152.6±27.9)mL,the lymphnode dissection number was (15.8±2.9),the hospital time was 8 to 15 days.They were given follow-up 5 to 26 months,2 patientshad liver metastasis after postoperative half year.Conclusion:The laparoscopic colorectal cancer radical operation has theadvantages of small trauma,quick recovery and so on.