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目的探讨腹腔镜下行直肠癌根治术(L-Dixon,L-Miles)的应用价值。方法对我院2009年10月至2011年1月期间收治的68例行腹腔镜直肠癌根治术患者的临床资料进行回顾性分析。结果 68例患者中行L-Dixon术55例,L-Miles术12例,中转开腹行Dixon术1例,手术过程顺利。术后第4天1例并发吻合口漏、盆腔脓肿,行开腹引流、横结肠造瘘术,6个月后关闭瘘口,恢复正常。本组患者随访时间2～12个月,平均随访时间8个月,均恢复良好,无肿瘤复发及转移。结论腹腔镜下行直肠癌根治术具有手术野清晰、创伤小、恢复快等优点,可取得与开腹手术相当或更好的根治效果,使患者受益。
Objective To investigate the value of laparoscopic radical resection of rectal cancer (L-Dixon, L-Miles). Methods A retrospective analysis was performed on the clinical data of 68 patients undergoing laparoscopic radical resection of rectal cancer who were treated in our hospital from October 2009 to January 2011. Results Sixty-eight patients underwent L-Dixon surgery in 55 cases, L-Miles operation in 12 cases and Dixon operation in 1 case. The procedure was successful. One patient had anastomotic leakage and pelvic abscess on the fourth day after operation. The patients underwent open drainage and transverse colostomy. After six months, the fistula was closed and returned to normal. The patients were followed up for 2 to 12 months, the average follow-up time of 8 months, were recovered well without tumor recurrence and metastasis. Conclusions Laparoscopic radical rectal cancer radical surgery has the advantages of clear surgical field, less trauma and faster recovery, which can achieve the same or better curative effect than laparotomy to benefit the patients.