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结直肠癌是消化道常见恶性肿瘤之一，外科手术是重要的治疗手段，主要有传统开腹手术、腹腔镜辅助手术、全腹腔镜手术和手助腹腔镜手术。随着腹腔镜设备和技术的发展, 腹腔镜手术的普及及治疗效果均已明显提高，但学习曲线长；特别是全腹腔镜下结直肠癌根治术存在很大的难度和危险性，在基层医院发展相对迟缓。手助腹腔镜技术作为一种微创手术方式,既具有腹腔镜手术微创的优势，又恢复了开腹手术直观、快捷、易于掌握和保留人手的触觉等优点。
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更新时间：2015-07-27
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手助腹腔镜结直肠癌根治术的应用研究
Application research of handassisted laparoscopic radical resection for colorectal cancer
微创医学 201503期 页码：354-357
作者机构：（广西北流市人民医院肿瘤外科，北流市537400）
基金信息：作者简介：植华德（1974～），男，本科，副主任医师，研究方向：胸部、腹部肿瘤的外科治疗。（收稿日期：20150213修回日期：20150410）
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Colorectal cancer is one of the common malignant digestive tract tumors. And surgery is the main treatment for colorectal cancer, including traditional open operation, laparoscopyassisted operation, laparoscopic operation and handassisted laparoscopic operation. Laparoscopic operation is popularized, and its efficacy improved remarkably due to the development of laparoscopic equipment and technology. But the learning curve of laparoscopic operation is quite long. Laparoscopic radical resection is difficult and risky for colorectal cancer, and develops relatively slowly in primary hospitals. Handassisted laparoscopic operation is a minimally invasive approach with the advantages of less trauma as the laparoscopic operation. And it also acquires the advantages of open operation including direct visualization, rapidity, easy mastery and pselaphesia preservation of hands.
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