摘要
目的 探讨腹腔镜手术治疗结肠肿瘤的方法与价值。方法 自 2 0 0 1年 7月～ 2 0 0 3年 10月行腹腔镜结肠肿瘤根治术 2 1例 ,其中右半结肠切除 5例 ,横结肠切除 4例 ,左半结肠切除 2例 ,乙状结肠切除 6例 ,腹腔镜手辅助结肠癌根治术 4例。结果 2 1例成功完成腹腔镜手术 ,无中转开腹。平均手术时间 15 0min。术中平均出血 10～ 5 0ml。术后肠功能恢复时间平均 31h。术后平均住院 12d。 1例手辅助腹腔镜手术发生切口感染。无吻合口瘘。切口及Trocar孔无肿瘤种植。无死亡病例。结论 腹腔镜手术治疗结肠肿瘤具有创伤小、并发症少、出血少 ,肠功能恢复快 ,平均住院时间短等优点。通过腹腔镜结肠肿瘤手术的学习曲线、具备丰富的手术经验与娴熟的专业技能是腹腔镜结肠癌手术到达根治的保证。
Objective:To study the method and worth of laparoscope in operation of colonic neoplasm. Methods:Twenty-one cases were performed radical resection of colonic neoplasms under laparoscope, including 5 dextral colectomy; 4 transverse colon resection; 2 sinistrocolectomy; 6 sigmoidectomy; 4 hand-assisted laparoscopic cotectomy.Results:All cases' operation was successfully preformed under laparoscope. Average operation time was 150 mins,the amount of bleeding during operation was between 10 and 50 ml, the function of intestines was come to 31 h ave,the mean hospital stay was 12 d after operation, 1 case occurred infection in incision, the others had no complications.Conclusions: There is so much advantage in laparoscope in operation of colonic neoplasms, such as little wound, complications, blood and hospital stay time and so on. Operation of colonic neoplasm under laparoscope can reach radical resection with plenty experience and proficient skill,through study curved line of it.
出处
《中国内镜杂志》
CSCD
2004年第4期44-46,共3页
China Journal of Endoscopy
基金
广东中山科研立项
编号 [2 0 0 1]C0 05
关键词
腹腔镜
结肠肿瘤
手术
laparoscope
colonic neoplasm
operation
