腹腔镜结直肠癌根治术的临床体会

目的:探讨腹腔镜结直肠癌根治术的临床效果。方法:回顾分析2011年3月至10月为26例结直肠癌患者行腹腔镜结直肠癌根治术的临床资料,并总结手术方式及随访结果。结果:手术时间105～315 min,平均185 min;术中出血量100～320 ml,平均175 ml;术后胃肠功能恢复时间1～4 d,平均1.8 d;标本切缘均阴性,清扫淋巴结总数10～22枚,平均15枚。术后未发生腹腔出血、吻合口漏及狭窄等并发症;术后住院7～10 d,平均8 d。随访3～10个月,平均8个月,均无转移、复发及切口种植。结论:腹腔镜结直肠癌根治术安全可行,具有微创、安全、术后康复快、肿瘤根治彻底等优点,在肿瘤根治性、手术时间、近期疗效等方面与传统开腹手术相当,值得推广应用。

Clinical experience of laparoscopic radical resection of colorectal cancer

Objective:To investigate the clinical efficacy of laparoscopic radical resection of colorectal cancer.Methods:Laparoscopic radical resection of colon and rectal cancer was applied to 26 cases with colorectal cancer from Mar.to Oct.2011.The clinical data,operation methods and the follow-up outcome were summarized.Results:In the 26 cases,the time of the operation was 105-315 min,the average was 185 min,the amount of bleeding was 100-320 ml,the average was 175 ml;the recovery time of the gastrointestinal function was 1-4 d,the average was 1.8 d.There were no positive surgery margins,the complications such as abdominal bleeding,anastomotic leak and stenosis did not occur.The number of harvested lymph node was 10-22,the average number was 15.The time in the hospital after the operations was 7-10 d,the average time was 8 d.The time of the follow-up visit was 3-10 months,the average time was 8 months,in the follow-up period no metastasis,recurrence or incision implantation was found.Conclusions:Laparoscopic radical resection of colon and rectal cancer is safe and feasible,has the advantages of small damage,safety,fast postoperative recovery and radical cure.It has similar operative time,short-term therapeutic effect and tumor radical treatment with traditional laparotomy.It is worthy of the clinical application.