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目的探讨腹腔镜结直肠癌根治术临床疗效。方法回顾性分析我院2009年8月～2012年4月所实施的23例腹腔镜结直肠癌根治术患者的临床资料。结果全组手术均在腹腔镜下完成。行腹腔镜下Dixon术10例,Miles术8例,乙状结肠癌根治术2例,左半结肠癌根治术1例,右半结肠癌根治术2例。手术时间为110～255 min(平均180 min),术中平均失血25 ml。无围手术期死亡者。术后胃肠道功能恢复时间1～2 d。术后至今均获随防,随坊时间为6～24个月。1例术后第8个月出现腹腔广泛转移,其余患者均为无瘤生存。结论腹腔镜结直肠癌根治术具有微创、安全、恢复快等优势,可以替代传统的开腹手术。
Objective To investigate the clinical effect of laparoscopic radical resection of colorectal cancer. Methods The clinical data of 23 patients undergoing laparoscopic radical resection of colorectal cancer who were performed in our hospital from August 2009 to April 2012 were retrospectively analyzed. Results All the patients underwent laparoscopic surgery. Laparoscopic Dixon operation in 10 cases, Miles operation in 8 cases, sigmoid colon cancer in 2 cases, left half colon cancer radical operation in 1 case, right half colon cancer radical operation in 2 cases. The operation time was 110-255 minutes (mean 180 minutes). The average blood loss during operation was 25 ml. No perioperative deaths. Postoperative gastrointestinal function recovery time 1 ~ 2 d. Have been with the anti-postoperative so far, with the square time of 6 to 24 months. One case had extensive peritoneal metastasis at the 8th month after operation, and the remaining patients were tumor-free survival. Conclusion Laparoscopic radical resection of colorectal cancer with minimally invasive, safe, fast recovery and other advantages, can replace the traditional open surgery.