手助腹腔镜结直肠切除术21例临床分析

目的探讨手助腹腔镜结直肠切除术的可行性. 方法回顾性分析2003年10月～2004年8月我院行手助腹腔镜结直肠切除手术21例的临床资料. 结果 20例完成了手助腹腔镜下手术,平均手术时间144min,术中平均出血量120 ml,平均清扫淋巴结数量8.5个,术后平均肠功能恢复时间为69 h.术后腹腔内出血1例,经保守治疗痊愈.中转开腹1例. 结论手助腹腔镜大肠癌手术安全、可行、并发症少,手助使镜下操作简单化、安全省时,能达到根治效果.

Hand-assisted laparoscopic colorectal resection: An analysis of 21 cases

Objective To evaluate the feasibility of hand - assisted laparoscopic colorectal resection. Methods Clinical data of 21 cases of hand - assisted laparoscopic colorectal resection in this hospital from October 2003 to August 2004 were retrospectively reviewed. Results The hand - assisted laparoscopic resection was accomplished in 20 cases. The mean operation time was 144 rain, the mean blood loss was 120 ml, the mean number of dissected lymph nodes was 8. 5, and the mean time to intestinal function recovery, 69 h. Postoperative abdominal bleeding was found in 1 case, which was cured with conservative therapy. A conversion to open surgery was needed in 1 case. Conclusions Hand - assisted laparoscopic colorectal resection safe, feasible, and radical, with advantages of fewer complications and simplicity of performance.