海南医科大学学报

目的:探讨腹腔镜辅助结直肠癌切除术的安全性和可行性。方法:回顾性分析21例腹腔镜辅助结直肠癌切除病例的临床资料。结果:21例患者均无中转开腹,术中出血量50～100 mL,术后72 h内肠功能恢复,平均术后住院时间10.5 d,1例患者因肝、肺转移死亡,无穿刺口及皮肤切口肿瘤种植病例发生,效果满意。结论:腹腔镜辅助结直肠癌切除术切口小,减少了并发症的发生,切口种植率不高,根治效果良好,是一种安全、可行的手术方式,基本可达到与开腹手术相同的治疗效果。

Objective:To investigate the safety and feasibility of laparoscopic assisted rectal cancer resection.Methods: Data of 21 cases of colorectal carcinomas that underwent laparoscopic assisted resections in our hospital were retrospectively reviewed.Results: Operations were successfully preformed under laparoscope on all patients,the amount of bleeding during operation was between 50~100 mL,the function of intestines came back within 72 h,the mean hospital stay was 10.5 d after operation,1 case died of transformation in liver and lung,and the others were still alive with cancer.Conclusion: With less complications and smaller incision,laparoscopic assisted rectal cancer resection is safe,feasible and showed the same curative effects as abdominal rectal cancer resection.