经腹腔镜直肠癌根治手术临床观察34例

Clinical observation of 34 cases with laparoscopic radical operation of rectal carcinoma

目的:探讨观察经腹腔镜直肠癌根治手术的临床疗效。方法:收治直肠癌患者34例,均采用4~5孔法腹腔镜手术治疗。结果:本组34例经腹腔镜手术成功32例,成功率94.1%,其中2例患者由于肿瘤侵犯周围脏器中转开腹。腹腔镜手术切口长度3~5cm,术中出血量50~90ml,平均70.2ml,手术时间100~205分钟,平均169分钟。术后无切口感染等并发症发生。结论:腹腔镜直肠癌根治手术创伤小、出血少、术后并发症少。

Objective:To observe the clinical efficacy of laparoscopic radical operation.Methods:in our hospital from 2011 March to 2013 July treatment of 34 cases of rectal cancer patients,were treated with 4~5 hole laparoscopic operation treatment.Results:In this group,34 patients underwent laparoscopic operation was successful in 32 cases,the success rate is 94.1%,among them 2patients due to tumor invasion of adjacent organs to laparotomy.Laparoscopic operation incision 3~5cm in length,the amount of bleeding was 50~90ml,average 70.2ml,operation time of 100~205min,average 169min.No postoperative complications such as wound infection.Conclusion:laparoscopic radical resection of rectal carcinoma operation little trauma,less bleeding,less postoperative complications,worthy of clinical application.