腹腔镜治疗结直肠癌35例体会

目的探讨腹腔镜结直肠癌根治术的适应症、禁忌症和手术技巧的临床应用。方法回顾性分析我科从2005年2月到2009年12月35例在腹腔镜下行结直肠癌根治术的临床资料。所有手术均与开腹手术相同的标准进行的。结果 33例病人顺利完成腹腔镜手术。中转开腹2例。平均手术时间185分钟,术中平均出血量80ml,平均住院时间为11天。全组病人住院期间无死亡。术后随访时间10-60个月(平均36个月),最长者5年。1例直肠癌患者发生盆腔局部复发,但均无远处转移和Trocar处、切口处肿瘤种植发生。结论腹腔镜结直肠癌根治术相比传统开放手术有创伤小,恢复快的特点,肿瘤根治的彻底性、肿瘤局部复发率和远处转移率与传统开放手术相同。

Experiences in 35 cases of laparoscopic surgery in colorectal cancer

Objective To explore the clinical application of laparoscopic surgery for colorectal cancer,including operation indications,contraindications and surgical skills.Methods From Feb 2005 to Dec 2009,35 cases with colorectal cancer received laparoscopic surgery were analyzed retrospectively.All the laparoscopic surgeries were done at the same standard of open procedures.Results The laparoscopic surgeries were successfully performed in 33 cases,2 cases were converted to open surgery.The mean operation time was 1...