腹腔镜直肠癌手术的手术方式选择探讨
直肠癌,,直肠癌；手术方式；外科学；腹腔镜,1临床资料,2结果,3讨论,参考文献
摘要 目的：探讨腹腔镜直肠癌根治术的手术方式选择。方法：回顾性分析2002年11月至2005年11月间施行的88例腹腔镜直肠癌手术，包括中转率、手术要点和并发症率等。结果：本组中转开腹7例(80%)。88例中经腹腔镜前切除吻合40例，经腹腔镜肛管根治性切除乙状结肠肛管吻合14例，经腹腔镜腹会阴联合切除术33例， 1例因合并3度会阴撕裂伤行经腹腔镜Hartmann手术。无术中并发症及手术死亡，术后并发症8例，5例为出血并发症。结论：腹腔镜直肠癌手术安全、有效，但应个体化选择手术方式。关键词 直肠癌；手术方式；外科学；腹腔镜
Eightyeight Cases of Laparoscopic Rectal Resection for Rectal Cancer.
Zhang Lianyang, Liu Baohua, Tong Weidong.
Department of General surgery, Daping Hospital, Research Institute of Surgery, Third Military Medical University, Chongqing 400042, China)
Abstract Objective:To explore the operative mode of laparoscopic rectal resection for rectal cancer. Methods:Retrospectively 88 cases of laparoscopic rectal resection for rectal cancer from Nov 2002 to Nov 2005 were reviewed.Results:The conversion rate was 8.0%. There were 40 patients treated by laparoscopic anterior resection, 14 patients by laparoscopic-transanal resection and coloanal anastomosis ......
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