完全腹腔镜技术在根治性右半结肠切除术中的应用

The application of total laparoscopy in radical resection of right hemicolon cancer

目的探讨完全腹腔镜技术在右半结肠癌根治术中的应用。方法回顾13例施行完全腹腔镜下右半结肠癌根治术的患者资料。结果手术时间127~175min,平均153min;术中出血量为100~250 ml,平均为160 ml;术后胃肠恢复时间为1~4 d,平均2.3 d。所有手术标本残端无肿瘤细胞残留。所有病例术后未出现出血、吻合口漏、吻合口狭窄并发症,所有患者均未出现伤口感染。术后住院5~7 d,平均6.2 d。术后随访2~23月,无复发、转移及切口种植。结论完全腹腔镜技术在右半结肠癌根治术中的应用安全可行。

Objective To evaluate the application of total laparoscopy in radical resection of right hemicolon cancer.Methods Retrospectively collect the data of 13 patients who underwent total laparoscopic radical resection from February 2013 to November 2014.Results Operation time was 127~175 min,with an average of 153 min.The mean intraoperative blood loss was 160 ml(range,100~250 ml).Bowel movement recovery time was 1~4 days(mean,2.3 days).Postoperative pathological examination revealed no residual or infiltration of tumor cells in stump.Infection of incision did not occur in all cases,neither did bleeding, leakage or stenosis of anastomosis.The length of postoperative hospital stay was 5~7 days,with an average of 6.2 days.13 cases were followed up for 2 ~23 months, which showed no tumorrecurrence and port-site metastasis in all cases.Conclusions Total laparoscopic radical resection for cancer of right hemicolon was safe and feasible.