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目的探讨腹腔镜乙状结肠肿瘤手术经脐取标本并脐再造术的可行性和临床应用前景。方法回顾性分析2011年1月至2011年12月期间我院普外科同一治疗小组完成6例腹腔镜乙状结肠肿瘤手术经脐取标本并脐再造术患者的手术时间、出血量、吻合口漏、切口感染及术后恢复情况。结果 6例患者均在腹腔镜下顺利完成手术,手术时间120～160 min,平均139 min;术中出血量30～60 ml,平均40 ml;术后未发生吻合口漏、腹腔感染、切口感染等并发症;术后平均7.6 d出院。手术切口瘢痕隐蔽不易察觉,新“肚脐”形态良好。结论腹腔镜乙状结肠肿瘤手术经脐取标本并脐再造术是一创新型手术,创伤小,恢复快,操作简单,安全,腹部美容效果明显。
Objective To investigate the feasibility and clinical application of laparoscopic sigmoid colon surgery for umbilical cord retrieval and umbilical reconstruction. Methods The clinical data of 6 patients with laparoscopic sigmoid colon surgery underwent umbilical cord retrieval and umbilical reconstruction from January 2011 to December 2011 were analyzed retrospectively. The operative time, amount of bleeding, anastomotic leakage and incision Infection and postoperative recovery. Results All patients underwent laparoscopic surgery successfully. The operation time ranged from 120 to 160 minutes, with an average of 139 minutes. The intraoperative blood loss was 30 to 60 ml (mean, 40 ml). No anastomotic leakage, abdominal infection or incision infection occurred after operation And other complications; an average of 7.6 d after discharge. Surgical incision scar concealed imperceptible, new “navel ” good shape. Conclusion Laparoscopic sigmoid colon surgery by umbilical cord retrieval and umbilical reconstruction is an innovative operation, less trauma, rapid recovery, simple operation, safety, and cosmetic effect of the abdomen is obvious.