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目的探讨腹腔镜技术在低位直肠癌手术中的应用与效果。方法回顾性分析2009年1月~2010年8月39例腹腔镜直肠癌根治术患者的临床资料。结果 39例患者中35例顺利完成腹腔镜手术。4例中转开放手术,无手术死亡病例,无术后出血、吻合口漏、吻合口狭窄发生,手术平均时间150 min,术中出血量50~150ml,术后2~4 d胃肠功能恢复,所有标本残端无癌细胞浸润或残留,清扫淋巴结数6~27个。术后平均住院时间8d,术后随访至2010年8月,死亡1例,局部复发1例。结论腹腔镜低位直肠癌根治术不仅可达到开腹根治术的目的 ,而且具有操作安全、微创、恢复快、保肛率高的优点。
Objective To investigate the application and effect of laparoscopic surgery in low rectal cancer surgery. Methods The clinical data of 39 patients undergoing laparoscopic radical resection of rectal cancer from January 2009 to August 2010 were retrospectively analyzed. Results Of the 39 patients, 35 patients successfully completed laparoscopic surgery. 4 cases were transferred to open surgery, no surgical deaths, no postoperative bleeding, anastomotic leakage, anastomotic stenosis, the average operation time was 150 min, intraoperative blood loss 50 ~ 150ml, 2 ~ 4 days after gastrointestinal function recovery, All samples without stump cancer cell infiltration or residue, the number of lymph nodes 6 to 27. The average postoperative hospital stay was 8 days. The patients were followed up to August 2010 with 1 death and 1 local recurrence. Conclusions Laparoscopic radical rectal cancer radical operation can not only achieve the purpose of open radical mastectomy, but also has the advantages of safe operation, minimally invasive, rapid recovery and high anal sphincter preservation rate.