减孔减人腹腔镜辅助结直肠癌根治术探讨

Diagnosis and treatment of colorectal cancer by reduced port laparoscopic radical resection

目的探讨减孔减人腹腔镜结直肠癌根治术的临床疗效。方法回顾分析46例减孔减人腹腔镜辅助结直肠癌根治术的病例资料。结果46例患者均在腹腔镜下完成,本组患者平均手术时间206 min,术中平均出血56 ml,手术清扫淋巴结数6~21枚/例,平均12枚/例。出现切口感染1例,吻合口漏2例,均经治疗后痊愈出院。结论减孔减人腹腔镜结直肠癌根治术安全可行,能够减少人力成本,临床疗效满意,值得临床推广应用。

Objective To investigate the clinical efficacy of reduced port laparoscopic radical resection on colorectal cancer.Methods Clinical data of 46 patients with colorectal cancer undergoing reduced port laparoscopic radical resection were retrospectively analyzed.Results All of 46 patients underwent laparoscopic surgery,with an average operation time of 206 minutes,an average intraoperative bleeding of 56 ml,an average number of lymph nodes removement of 12/case(ranged from 6 to 21).One case had incision infection,2 cases had anastomotic leakage,and they all recovered and discharged after treatment.Conclusions Reduced port laparoscopic radical resection of colorectal cancer is safe and feasible,reduces labor costs,and has a good clinical efficacy,which is worthy of clinical promotion.