摘要
目的探讨非气腹手助腹腔镜结直肠癌手术的可行性。方法回顾分析25例手助腹腔镜结直肠癌根治手术患者的临床资料,手术均在非气腹腹腔镜下进行操作。结果全组均获成功,手术时间(171.5+15.6)min;手术清除淋巴结(14.1士1.4)个,切除标本长度结肠癌为(23.8士2.3)cm,直肠癌为(19.4士1.5)cm。术后切口感染3例,未发生吻合口瘘等严重并发症,无手术死亡。结论非气腹手助腹腔镜结直肠癌手术是安全、可行、有效的,可达到结直肠癌根治性手术切除的要求。
Objective To explore the feasibility of hand-assisted gasless laparoscopic surgery of colorectal carcinoma. Methods The clinical data of 25 cases of colorectal carcinoma treated with hand-assisted gasless laparoscopic radical surgery were analyzed retrospectively. Results All the operations were successfully completed without serious complications such as anastomotic fistula, and none died from operation. The mean time of operation was （171.5 ± 15.6） min. An average of （14. 1 ± 1.4） mesenteric lymph nodes were removed at operation. The length of resected specimen in cases of colon carcinoma was （ 23.8 ± 2.3 ） cm, and for rectal carcinoma was （ 19.4 ±1.5 ） cm. There were 3 cases of wound infection after operation. Conclusions Hand-assisted gasless laparoscopic surgery for colorectal carcinoma is safe, feasible and effective, and meets the requirements of radical resection of colorectal carcinoma.
出处
《中国普通外科杂志》
CAS
CSCD
2007年第12期1140-1142,共3页
China Journal of General Surgery
关键词
非气腹腹腔镜
手助腹腔镜手术
结直肠癌
Gasless Laparoscopes
Hand-assisted Laparoscopic Surgery
Colorectal Carcinoma
