摘要
[目的]探讨腹腔镜辅助右半结肠切除术治疗结肠癌的方法及应用价值.[方法]回顾性分析本院2007年2月至2009年12月行腹腔镜辅助右半结肠切除术23例结肠癌患者的临床资料.[结果]21例顺利完成腹腔镜手术,2例中转开腹.手术时间160～26 min,平均206 min,术中出血平均80 mL,术后恢复肠蠕动平均36 h,术后平均住院8 d,术后肺部感染、切口感染各1例.19例术后随诊6～36个月,平均19个月,2例分别于术后8、20个月发生肝转移.[结论]腹腔镜辅助右半结肠切除术治疗结肠癌安全有效,符合微创手术切口小、患者痛苦轻、康复快的优点及肿瘤根治原则.
[Objective]To explore the method and application value of laparoscopic assisted right hemieo lectomy for colonic carcinoma. [Methods] The clinical data of 23 patients with colonic carcinoma undergoing laparoscopic-assisted right hemicolectomy in our hospital from Feb. 2007 to Dec. 2009 were retrospectively analyzed. [Results] Laparoscopic operations were successfully completed in 21 cases. Two cases were converted to open surgery. The average operative time was 160-268min（average 206min）, and the mean blood loss was 80ml, and the mean resumption time of bowel movement was 36h, and the mean hospital stay was 8d. Postop erative pulmonary infection and wound infection were found in 2 cases, respectively. Nineteen cases were followed up for 6-36 months（average 19 months）. During follow up, liver metastasis occurred in 2 cases at 8 and 20 months after operation, respectively. [Conclusion] Laparoscopic-assisted right hemicolectomy is safe and effective for patients with colon cancer. It accords with radical principles and the advantages of minimally invasive surgery, such as small incision, light pain and quick recovery.
出处
《医学临床研究》
CAS
2011年第2期269-270,共2页
Journal of Clinical Research
关键词
结肠切除术
外科手术
腹腔镜
colectomy
surgical procedures, laparoscopic
