腹腔镜结直肠手术的暴露技巧

目的:探讨腹腔镜结直肠手术的暴露技巧.方法:回顾分析2003年7月至2010年12月施行429例腹腔镜结直肠手术的临床资料.结果:本组381例成功完成腹腔镜手术,成功率88.8%,中转开腹48例,中转率11.2%.手术时间95～265min,平均146min,术中均未输血.所有患者均对手术效果满意,术后3～8d痊愈出院...

The exposure of the laparoscopic colorectal surgery

Objective:To investigate the exposure of the laparoscopic colorectal surgery.Methods:The retrospective analysis was made on the clinical data of 429 patients who underwent the laparoscopic colorectal surgery from Jul.2003 to Dec.2010.Results:The operation time was 95-265min(mean,146min).No case was given blood transfusion during operation.48 cases(11.2%) were transferred to opening operation.All patients were satisfied with the operation outcome.The period in hospital was 3-8d.The patients were followed up for 4 to 53 months(mean,37 months).Conclusions:The exposure of visual fields of the laparoscopic colorectal surgery can be completed by sufficient preparation of preoperation,posture,appliance,frenum and assisting of adjutant.The sufficient exposure can obviously reduce the difficulty of the laparoscopic colorectal surgery.