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目的:探讨腹腔镜手术治疗直肠癌的临床效果。方法:回顾分析38例腹腔镜直肠癌手术的临床资料。结果:38例手术均获成功。腹腔镜Dixon术22例,腹腔镜Miles术16例;手术平均时间255min,术中平均失血185ml,术后胃肠功能恢复时间平均62h,术后住院天数平均11d。手术切除淋巴结平均为8个,术中及术后均无并发症发生。结论:腹腔镜直肠癌手术创伤小,术后恢复快,近期效果好。
Objective: To investigate the clinical effect of laparoscopic surgery for rectal cancer. Methods: Retrospective analysis of 38 cases of laparoscopic rectal cancer surgery clinical data. Results: All the 38 surgeries were successful. Laparoscopic Dixon surgery in 22 cases and Laparoscopic Miles operation in 16 cases. The mean operation time was 255 minutes. The average blood loss during operation was 185ml. The mean postoperative gastrointestinal function recovery time was 62h. The average length of postoperative hospital stay was 11 days. The average number of resected lymph nodes was 8, with no complications during or after surgery. Conclusions: Laparoscopic surgery for rectal cancer is small and the postoperative recovery is quick. The recent effect is good.