腹腔镜结直肠肿瘤切除术临床分析

Clinical analysis of laparoscopic colorectal tumor resection

目的:探讨腹腔镜技术在结直肠肿瘤切除术中的临床应用价值。方法:2016年1月-2018年10月收治结直肠肿瘤患者48例,均运用腹腔镜技术治疗,观察临床各项指标水平。结果:腹腔镜手术成功46例,直肠癌侵犯膀胱后壁中转开腹手术2例。平均手术时间180 min,术中出血量50~290 mL,术后24~72 h胃肠功能恢复,无术中大出血,术后住院时间7~10 d。随诊1~30个月,肿瘤复发转移后死亡2例;无Trocar处和小切口处肿瘤种植。结论:腹腔镜应用于结直肠癌手术,创伤小、术中出血量少,患者术后恢复快,较传统开腹手术具有独特优势。

Objective:To explore the clinical application value of laparoscopic technique in colorectal tumor resection.Methods:48 patients with colorectal tumors were selected from January 2016 to October 2018,all patients were treated with laparoscopy and the clinical indicators were observed.Results:Laparoscopic surgery was successful in 46 cases,and 2 cases of rectal cancer invaded the posterior wall of the bladder were converted to open surgery,the average operation time was 180 minutes,intraoperative blood loss was 50~290 mL,gastrointestinal function was recovered within 24 to 72 hours after operation.There was no intraoperative hemorrhage,the postoperative hospital stay was 7~10 days,the follow-up period was 1~30 months,and 2 cases died after tumor recurrence and metastasis,there was no tumor implantation at Trocar and small incision.Conclusion:Laparoscopic colon surgery for rectal cancer has the advantages of less trauma,less intraoperative bleeding and faster postoperative recovery,which has unique advantages over traditional open surgery.