腹腔镜直肠癌根治手术临床治疗分析

目的探讨腹腔镜直肠癌根治术的安全性和可行性。方法回顾分析28例腹腔镜直肠癌手术的临床资料。结果28例顺利完成腹腔镜手术，2例中转开腹，中转率7．1％；腹腔镜Dixon术20例，腹腔镜Miles术6例；手术平均时间233min，术中平均失血215ml，术后胃肠功能恢复时间平均56h，术后住院天数平均10．5d。手术切除淋巴结平均为11．6个，无术后出血、吻合口漏、死亡病例发生。随访2～24个月未发现切口种植、局部复发和远处转移。结论腹腔镜直肠癌手术创伤小，术后恢复快，近期效果好。

Clinical analysis of laparoscopic radical resection for rectal cancer

Objective To explore the safety and feasibility of the laparoscope in radical resection for rectal cancer. Methods The clinical data of 28 patients with rectal carcinoma underwent laparoscopic operation were analyzed retrospectively. Result Twenty-six patients successfully underwent laparoscopic rectal operation, and the other 2 patients were converted to open surgery. Conversion rate 7.1%. Surgical procedures were 20 anterior and 6 abdominal-perineal resections. The mean operative time for nonconverted patients was 233 minutes and the average blood loss was 215ml.The mean time of gastrointestinal function recovery was 56 hours. The mean postoperative hospitalization was 10.5days. The mean number of lymph nodes collected was 11.6. No death, no anastigmatic leakage and postoperative hemorrhage occurred. In the follow - up of 2 - 24 months for 26 patients there were no local recurrence and distant metastasis. Conclusions Laparoscopic rectal operations have advantages of minimal invasion, rapid recovery and good curative effect.