腹腔镜技术在梗阻性左半结肠癌中的应用体会

目的 探讨腹腔镜技术在治疗梗阻性左半结肠癌中的安全性及可行性。方法 回顾性分析2018年10月至2019年10月广东省陆丰市人民医院普外科10例行腹腔镜左半结肠癌根治术患者的临床资料。结果 10例患者均全部顺利完成腹腔镜左半结肠癌根治术,无中转开腹。手术中位时间为171（132~230）min,术中中位出血量为60（20~250）mL,10例患者均行一期切除吻合和预防性回肠造口,中位腹部切口长度为8（9~10）cm,中位淋巴结清扫总数17（12~25）个。术后第1天均恢复流质饮食,术后排气中位时间为1（1~3）天,术后拔除引流管时间1（1~2）天,术后住院中位时间为7（6~12）天。结论 腹腔镜技术在治疗梗阻性左半结肠癌中是安全可行的,具有一定的临床应用价值。

Application value of laparoscopy in obstructive left colon cancer

Objective To explore the safety and feasibility of laparoscopic technique in the treatment of obstructive left colon cancer. Methods Retrospective analysis of clinical data of 10 patients undergoing laparoscopic radical resection of left colon cancer from October 2018 to October 2019 in the Department of General Surgery,Guangdong Lufeng People's Hospital. Results Ten patients successfully completed laparoscopic radical resection of left colon cancer and did not switch to open surgery. The median surgery time is 171（132~230） min,median blood loss during surgery was 60 （20~250） ml. All 10 patients underwent one-stage resection, anastomosis and preventive ileostomy. The median abdominal incision length is 8 （9~10） cm, and the median lymphadenectomy is 17 （12~25）. The liquid diet was resumed on the first postoperative day, the median time for postoperative flatus was 1 （1~3） days, the duration of postoperative drainage tube removal was 1 （1~2） days, and the median postoperative hospitalization time was 7 （6~12） days. Conclusion Laparoscopy is safe and feasible in the treatment of obstructive left colon cancer, and has certain clinical application value.