腹腔镜结直肠手术治疗结直肠肿瘤的临床应用
腹腔镜,,腹腔镜；结直肠肿瘤,1资料与方法,2结果,3讨论,参考文献：
【摘要】目的：探讨腹腔镜结直肠手术的临床应用价值。方法：分析运用腹腔镜技术，按开放手术原则治疗结直肠癌70例的临床资料，其中右半结肠切除术2例，乙状结肠切除术7例，直肠癌行直肠前切除术(Dixon术)52例，Miles术9例。结果：69例手术成功，1例因侵及膀胱后壁转开腹手术。平均手术时间140min，术中平均失血100ml。术后肠蠕动恢复平均16d，5例术后性功能障碍，4例术后早期排尿障碍。无术后出血、吻合口瘘等并发症。随访1~39月，2例腹腔内广泛转移，2例肝脏转移，1例穿刺孔种植转移。结论：腹腔镜结直肠手术安全可行，严格掌握手术适应证、熟练的腹腔镜手术技术和丰富的开腹结直肠手术经验是完成此类手术的关键。【关键词】腹腔镜；结直肠肿瘤
Clinical analysis of laparoscopic surgery for coloreced
neoplasm SUN Yueming ，ZHAO Hanlin， LU Wenxiong,et al.
The General Dept.of the First Affiliated Hospital of Nanjing Medical University ,Nanjing 210029,China
【Abstract】Objective:To study the clinical value of laparoscopic surgery for coloreced neoplasm.Methods：70 cases of colorectal neoplasms underwent laparoscopic surgery based on the traditional operation principle.Were analyzed 2 cases underwent right hemicolectomy.7 cases underwent sigmoidectomy.52 cases were performed rectal anterior resection for rectal cancer(Dixon).Abdominal perineal resection was conducted in 9 cases.Results：69 cases succeeded,l case was converted to open laparotomy because of invading bladder.The mean time of operation was 1 40min,and average intraoperative bleeding was 120ml.The average time of the recovery of intestinal function was 1.6 days.5 cases arised sex dysfunction and 4 cases were urinary retention early stage of postoperation.No another postoperative complicotion such as bleeding,leakage occurred.All patients were followed up 139 months.2 cases widespread metastasize in abdominal cavity and another 2 cases metastasize in live 1case was found trocar site implantation.Conclusions：The laparoscopic operation to colorectal neoplasms is both feasible and safe.It must be performed under the good indication by skilled and experienced surgeon. ......
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