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目的探讨腹腔镜结直肠癌根治术临床应用方法和治疗效果。方法回顾分析2007年3月—2009年6月罗山县人民医院经腹腔镜行结直肠癌根治术治疗的10例患者临床资料,其中右半结肠切除术2例、左半结肠切除术2例、乙状结肠切除术3例、直肠癌行直肠前切除术2例、Miles术1例。结果 10例均经腹腔镜手术完成,无中转开腹。手术时间115～290min,平均170min;术中出血60～240ml,平均120ml;手术切除淋巴结数目2～9枚,平均6枚;术后2～5d胃肠功能恢复,平均3.5d;术后住院时间7～12d,平均9.5d;术后无出血、吻合口漏、伤口感染等并发症。出院随访2～18个月,1例出现轻度性功能障碍,1例术后13个月后发现肝脏转移,未见复发及腹部切口种植。结论腹腔镜结直肠癌根治术手术创伤小,切口并发症发生减少,术后患者恢复快,可较早进行术后化疗,值得临床推广使用。
Objective To investigate the clinical application and treatment of laparoscopic radical resection of colorectal cancer. Methods The clinical data of 10 patients who underwent laparoscopic colorectal cancer radical mastectomy from March 2007 to June 2009 in Luoshan People’s Hospital were retrospectively analyzed. Among them, 2 patients underwent right half-colon resection and 2 patients underwent left-half colon resection , Sigmoid colon resection in 3 cases, rectal cancer in 2 cases of rectal resection, Miles in 1 case. Results 10 cases were completed by laparoscopic surgery, no laparotomy. The average operative time was 115-290 min with an average of 170 min. The intraoperative bleeding ranged from 60 to 240 mL with an average of 120 mL. The number of resected lymph nodes ranged from 2 to 9, with an average of 6 on average. The postoperative gastrointestinal function recovered from 2 to 5 days 7 ~ 12d, an average of 9.5d; no bleeding, anastomotic leakage, wound infection and other complications. The patients were followed up for 2 to 18 months. One case had mild sexual dysfunction, and one case had liver metastasis after 13 months. No recurrence and abdominal incision were found. Conclusion Laparoscopic radical resection of colorectal cancer surgery less traumatic incision complications, postoperative recovery of patients with fast, early postoperative chemotherapy is worthy of clinical promotion and use.