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腹腔镜下直肠癌根治术14例
引用本文:何韵彬,严峻,朱宗恒. 腹腔镜下直肠癌根治术14例[J]. 腹部外科, 2010, 23(1): 32-33
作者姓名:何韵彬  严峻  朱宗恒
作者单位:黄石市爱康医院微创外科,湖北,435000;黄石市爱康医院微创外科,湖北,435000;黄石市爱康医院微创外科,湖北,435000
摘    要:目的探讨经腹腔镜全直肠系膜切除术(TME)+经直肠肌鞘结肠拖出术(Soave)治疗直肠癌的可行性。方法经腹腔镜对14例直肠癌病人实施TME,并行Soave手术。结果14例手术顺利。手术时间150~260min,平均205min;术中出血50~200ml,平均125ml;术后1~2d恢复胃肠功能并下床活动;住院3~12d,平均7d。术后2例应用镇痛剂,无并发症发生,无死亡。结论经腹腔镜TME+Soave治疗直肠癌安全可行,能更好地保护自主神经,术后肛门括约肌功能良好。

关 键 词:腹腔镜  直肠肿瘤  外科手术

Laparoscpoic radical resection of 14 cases of rectal cancer
HE Yun-bin,YAN Jun,ZHUZong-heng. Laparoscpoic radical resection of 14 cases of rectal cancer[J]. Journal of Abdominal Surgery, 2010, 23(1): 32-33
Authors:HE Yun-bin  YAN Jun  ZHUZong-heng
Affiliation:HE Yun-bin,YAN Jun,ZHU Zong-heng.Department of Minimally Invasive Surgery,Huangshi Aikang Hospital,Huangshi 435000,China
Abstract:Objective To evaluate the feasibility of laparoscopic total mesorectal excision(TME)+Soave for the treatment of carcinoma of the rectum.Methods According to the principle of TME,14 cases of laparoscopic TME were performed.Results Fourteen cases were operative successfully.The operative time was 150 to 260 min(mean 205 min),blood loss was 50-200 ml(125 ml),gastrointestinal function recovered 1 to 2 days after operation,and hospital stay was 3 to 12 days(mean 7 days).There was no death and no complications.Co...
Keywords:Laparoscopes  Rectal neoplasms  Surgical procedures  operative  
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