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目的:探讨腹腔镜下直肠癌根治术的应用及效果。方法:我院2008年6月-2010年6月在腹腔镜下行直肠癌根治术21例,术中应用超声刀行肠系膜及血管处理,术后行常规化疗及随访。结果:完成腹腔镜下手术19例,平均手术时间为210min,术中平均出血量220mL,术后平均引流量为150mL,肛门排气时间平均为36h。有2例因操作困难中转传统手术方式完成。围手术期未出现肠瘘或术后肠粘连、肠梗阻等并发症。结论:腹腔镜直肠癌根治术并术中使用超声刀符合肿瘤根治性手术的原则,同时具有较传统手术创伤小、术中视野清晰、出血少、术后恢复快、腹壁疤痕小等优点,值得临床推广应用。
Objective: To investigate the application and effect of laparoscopic radical resection of rectal cancer. Methods: From June 2008 to June 2010, 21 cases underwent laparoscopic radical resection of rectal cancer. Mesenteric and vascular treatment were performed with ultrasound knife. Conventional chemotherapy and follow-up were performed after operation. Results: Laparoscopic surgery was completed in 19 cases. The average operation time was 210 min. The average blood loss during operation was 220 mL. The average drainage volume after operation was 150 mL. The mean time of anus exhaust was 36 h. There are 2 cases due to difficult operation of the traditional surgical methods to complete. Perioperative period did not appear intestinal fistula or postoperative intestinal adhesion, intestinal obstruction and other complications. Conclusion: Laparoscopic radical resection of rectal cancer with intraoperative ultrasound scalpel in line with the principle of radical tumor surgery, with less trauma than traditional surgery, clear vision, less bleeding, postoperative recovery, abdominal scar and other advantages, it is worth Clinical application.