腹腔镜辅助结直肠癌根治术221例临床研究

目的探讨腹腔镜结直肠癌根治术的临床治疗效果.方法 221例结直肠癌病人施行腹腔镜手术,记录手术时间、出血量、并发症、肠功能恢复时间、住院时间.结果 221例手术中除16例中转开腹外其余均完成腹腔镜手术,平均手术时间为156.4 min,失血量50～200 mL,平均肠功能恢复时间32.5 h,平均住院时间8.1 d.结论腹腔镜结直肠癌手术技术上是可行的,具有手术创伤小、术后恢复快、胃肠道干扰小、术后疼痛轻、瘢痕小等优点,其中短期效果令人满意,长期效果值得进一步探索.

CLINICAL STUDY OF 221 CASES OF LAPAROSCOPIC-ASSISTED RADICAL RESECTION OF COLORECTAL CARCINOMA

Objective To study the clinical effects of radical laparoscopic resection of colorectal cancer in 221 cases. Methods This study included 221 colorectal carcinoma patients who had received laparoscopic resection. The duration of the procedures, blood loss, complications, lymph nodes harvested, recovery time of bowel function, hospital stay, local recurrence and distant metastases were recorded. Results The operation was performed successfully in all the 221 patients while conversion to open was taken in 16 cases. The mean operating time was 156.4 minutes and blood loss was 50-200 mL. The average length of bowel function recovery and hospitalization were 32.5 hours and 8.1 days, respectively. Conclusion The laparoscopic colorectal surgery is applicable, the advantages of which lie in small incisions, quick recovery, little disturbance of the stomach and bowel, little postoperative pain, and small scar. Its effects in the short- and mediu -term are satisfactory, while the long-term one needs further study.