经腹腔镜结肠直肠癌切除术

目的：探讨电视腹腔镜手术在治疗结肠直肠癌中的应用、手术方法及临床效果。方法：利用腹腔镜技术对78例结肠直肠癌的患者进行手术,并对手术操作、并发症的出现及术后恢复等情况进行总结性分析。结果：78例患者采用电视腹腔镜方法完成手术,无因术后并发症而死亡的病例。经随访,1、3、5年生存者分别为21、17、8例;术后因肿瘤转移死亡11例,其他原因死亡2例;失访10例;余9例为术后不足1年时间的患者,除1例术后11个月发生肿瘤肝转移需行手术切除外,其他8例尚未见肿瘤的复发及转移。结论：只要掌握好腹腔镜的操作技巧及结肠直肠癌切除的手术指征,用腹腔镜的方法治疗结肠直肠癌不但是可行的,而且具有广阔的前景。

Laparoscopic colorectomy for colorectal cancer

Objective To evaluate the result of laparoscopic colorectomy in treatment of colorectal cancer. Methods Laparoscopyic colorectal surgery was performed in 78 patients with colorectal cancer. Operative procedures, complications and postoperative recovery were studied. Result None of the 78 patients died of laparoscopic colorectal surgery or complications. Eleven patients died from tumor metastasis and 2 from other causes. Twenty one, 17,8 patients for 1, 3, 5 years survived respectively. In nine patients who had received operation less than 1 year, no tumor recurrence or metastasis was found except in 1 patient 11 months after operation. Conclusion Laparoscopic colorectal cancer resection is essential to colectomy for colon and rectum cancer when indicated.