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目的探讨单双极电钩式分离钳行完全腹腔镜乙状结肠癌根治术的可行性和价值。方法采用自主发明的单双极电钩式分离钳行四孔电钩法完全腹腔镜下手术分离、血管处理,以及镜下肿瘤标本经肛取出和腹腔内肠管吻合器吻合。结果 16例手术顺利完成,手术平均时间185.0 min、术中平均出血量85.5 mL,无需超声刀、结扎速等,无术中术后并发症,术后疼痛轻,腹部只有4个0.5～1 cm小切口,无肿瘤复发及切口种植。结论单双极电钩式分离钳行四孔电钩法完全腹腔镜乙状结肠癌根治术在技术上完全可行,近期疗效良好,远期疗效有待观察。
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更新时间：2015-06-15
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单双极电钩式分离钳行四孔电钩法完全腹腔镜乙状结肠癌根治术的临床研究
Clinical study on radical sigmoidectomy for cancer totally under laparoscope with homopolar-dipolar hooked dissector
微创医学 201106期 页码：530-532
作者机构： 广西壮族自治区人民医院胃肠外科
基金信息： 收稿日期: 2011-07-18
- 中文简介
- 英文简介
- 参考文献
Objective To explore the feasibility and value of the radical sigmoidectomy for cancer totally under laparoscope with homopolar-dipolar hooked dissector． Methods Homopolar-dipolar hooked dissector，invented by ourselves，were applied to resect and deal with vessels，extract specimens through the anus，and sealed with canal stapler totally under laparoscope． Results All operations were successful without harmonious scapel and ligasure． The mean operating time was 185． 0 min，and the mean blood loss was 85． 5 ml，with only 4 small incision of 0． 5 － 1 cm in the abdominal wall，but without local recurrence or incisional implantation． Conclusion The surgery of radically resecting sigmoid colon cancer totally under laparoscope with homopolar-dipolar hooked dissector is feasible，and has good short-term effectiveness，but its long-term outcome is uncertain．
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