腹腔镜直肠癌根治术15例体会

目的比较腹腔镜直肠癌根治术与传统开腹直肠癌根治术的临床特点，探究腹腔镜直肠癌根治术的可行性和安全性。方法选择湖北省荣军医院2005—2012年间治疗的15例腹腔镜直肠癌根治术与传统开腹直肠癌根治术25例临床资料比较，总结评价腹腔镜在直肠癌根治术中的运用价值。结果腹腔镜直肠癌根治术组术中出血明显减少、缩短术后肛门首次排气时间及下床活动时间，而术后并发症与传统术式组无差别。结论腹腔镜直肠癌根治术可以达到传统手术的效果，具有出血少，视野清晰，解剖层次清楚，操作方面，患者恢复快等优势。

Experience of 15 cases of laparoscopic radical operation of rectal cancer

Objective By comparison of the clinical features with laparoscopic radical operation and traditional operation to assess the feasibility and security. Methods The clinical data of 15 cases underwent laparoscopic radical operation and 25 cases underwent traditional operation from 2005 to 2012 in the Hubei province rongjun hospitail were analyzed retrospectively. Results Laparoscopic operation could significantly decreased the blood loss, the time for bowel function recovery, post-operative dietary intakeand recovery time compared with traditional operation. Conclusion Laparoscopic operation not only hasthe same radical effect for treating l：ect0i cancer as traditional operation, but also has the advantage of less blood lost, more clear visual field and dissection order, more convenient operation and faster recovery.