3D腹腔镜直肠癌根治术28例治疗体会

Application of three-dimensional laparoscope in radical resection of rectal cancer

目的探讨3D高清腹腔镜在直肠癌根治术中的临床应用价值。方法对我院2015年11月至2016年2月行3D腹腔镜直肠癌根治术28例患者的临床资料进行回顾性分析,其中Dixon手术18例、Miles手术10例。结果 28例均顺利进行3D腹腔镜下直肠癌根治手术,无中转及死亡病例,平均手术时间为(150±21)min,平均出血量为(52±23)ml,肠蠕动恢复时间为(2.1±1.8)d,恢复流质饮食时间为(2.0±0.6)d,平均清扫淋巴结(16.3±2.8)个,平均住院时间为(8.9±3.5)d,无术后出血、吻合口漏、狭窄、输尿管损伤或者肠梗阻的发生。结论 3D高清腹腔镜能实现精细化操作,使用3D腹腔镜行直肠癌根治手术更方便,手术质量更高,并发症更少,取得良好的近期疗效。

Objective To investigate the application of three-dimensional laparoscopic resectionfor rectal carcer. Methods The clinical data of 28 patients with rectal carcer undergoing three-dimensionallaparoscopic resection were retrospectively reviewed. The operations included 18 cases of rectal anteriorresection (Dixon) and 10 cases of abdominal perineal resection (Miles). Results All operation succeeded.The mean time of operation was (150±21) mins, average intraoperative bleeding was (52±23) mL, thebowel movement recovered at a mean of (2.1±1.8) postoperative days, the mean postoperative time of liquidintake was (2.0±0.6) days, the mean number of lymph nodes dissected was (16.3±2.8) each case, the meanpostoperative hospital stay was (8.9±3.5) days. No postoperative bleeding, anastomotic leakage, stenosis,ureteral injury or the occurrence of intestinal obstruction occured. Conclusions The three-dimensionallaparoscopic radical resection for rectal cancer may be performed safely and effectively with decreasedsurgical difficulties.