论文部分内容阅读
目的探讨腹腔镜结直肠癌根治术的手术体会。方法回顾性分析30例结直肠癌患者的临床资料,患者均有腹部疼痛、腹胀、血便、排便习惯改变等症状,出现症状1~5个月经肠镜及病理证实为肠癌。均经腹腔镜手术切除病变组织,吻合口距离肛门4~26cm。结果 30例均顺利完成手术。住院时间5~15d,术后无死亡病例。发生吻合口瘘1例,放置双套管冲洗,给予抗感染、营养支持治疗痊愈出院。肺部感染1例,经抗感染、翻身拍背、雾化祛痰等治疗好转。吻合口出血1例,给予止血、营养支持治疗痊愈出院。肠梗阻1例,予禁食、抗感染、胃肠减压、维持蛋白量及纠正水、电解质紊乱、营养治疗好转出院。结论腹腔镜结直肠癌根治术住院时间短,术后恢复快,术后并发症发生率低,出血量少,术后疼痛轻微,已逐步广泛开展。
Objective To investigate the surgical experience of laparoscopic radical resection of colorectal cancer. Methods The clinical data of 30 patients with colorectal cancer were retrospectively analyzed. All patients had abdominal pain, abdominal distension, bloody stools, changes in bowel habits and other symptoms. The symptoms of 1 to 5 months were confirmed by colonoscopy and pathology as colorectal cancer. All patients underwent laparoscopic surgery to remove the diseased tissue, anastomotic distance anus 4 ~ 26cm. Results 30 cases were successfully completed the operation. Hospitalization 5 ~ 15d, no deaths after surgery. Anastomotic fistula occurred in 1 case, placed double-tube irrigation, given anti-infection, nutritional support and treatment cured. One case of pulmonary infection, the anti-infection, turn back shot back, expectorant and other treatment improved. Anastomotic bleeding in 1 case, giving hemostasis, nutritional support and treatment cured. Intestinal obstruction in 1 case, to fasting, anti-infective, gastrointestinal decompression, maintain the amount of protein and correct water and electrolyte disorders, nutrition treatment improved discharged. Conclusions Laparoscopic radical resection of colorectal cancer has shorter hospital stay, faster postoperative recovery, lower incidence of postoperative complications, less blood loss and mild postoperative pain.