摘要
目的：探讨初期开展腹腔镜辅助结直肠肿瘤手术的安全性和有效性。方法：总结我院初期开展腹腔镜辅助结直肠肿瘤手术12例患者的临床资料。结果：12例中成功完成10例，无脏器损伤、大出血、吻合口漏等并发症发生，手术时间180～590min，术中出血80～200ml，切口平均长5cm；48h内患者下床活动，术后30～78h肛门排气；术后住院8～16d；切除的肠段和肿瘤距切缘符合肿瘤切除原则。结论：初期开展腹腔镜辅助结直肠肿瘤手术选择良性肿瘤、不超出DukesC1期的恶性肿瘤或需姑息性切除的恶性肿瘤病例，手术是安全有效的。
Objective：To investigate the safety and efficacy of laparoscopic assisted surgery for colorectal tumour in initial stage. Methods：The clinical data of 12 patients who underwent laparoscopic assisted surgery for colorectal tumour in our hospital in ini- tial stage were summed up. Results：Ten in 12 cases were successfully operated, without organ damage, hemorrhea, anastomotic leakage and other operative complications. Operative time was 180-590min, blood loss in operation was 80-200ml, the average length of incision was 5cm, patients got out of bed in 48h,flatus occurred in 30-78h after operation, postoperative hospital stay was 8-16d. The section of large intestine and the distance from tumor to the edge conformed to the principles of the tumor resection. Conclusions：In the initial stage of laparoscopic assisted colorectal cancer surgery, it is safe and effective when selecting benign, malignant tumors less than Dukes C1 period or for palliative resection of the malignant cases.
出处
《腹腔镜外科杂志》
2010年第1期37-39,共3页
Journal of Laparoscopic Surgery
关键词
腹腔镜检查
结直肠肿瘤
外科手术
Laparoscopy
Colorectal neoplasms
Surgical procedures, operative
