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临床研究 | 更新时间:2017-05-16
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腹腔镜结直肠肿瘤根治术23例临床分析
Clinical analysis of 23 cases of laparoscopic radical operation for colorectal Cancer

微创医学 201712卷02期 页码:213-215+245

作者机构:解放军第123医院普外科,安徽省蚌埠市233015

基金信息:

DOI:DOI:10.11864/j.issn.1673.2017.02.16

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  • 英文简介
  • 参考文献
目的观察腹腔镜结直肠肿瘤根治术治疗结直肠肿瘤的临床效果。方法将23例结直肠肿瘤患者根据肿瘤部位的不同行相应的腹腔镜结直肠肿瘤根治术。结果本组23例患者全部顺利完成腹腔镜结直肠肿瘤切除术,无中转开腹手术;手术时间130~245(164±36) min;术中失血量50~300(120±40)mL;结肠清扫淋巴结数目为11~24(16±3)枚;直肠清扫淋巴结数目为4~15(9±2)枚;术后肠功能恢复时间32~60(40±12)h。术后患者发生切口感染2例,所有患者未出现术后出血、吻合口漏等并发症,总体并发症发生率为8.70%(2/23)。所有患者顺利出院,围术期无患者死亡。术后22例患者获得随访,随访时间6~28个月,因腹腔广泛转移衰竭而死亡2例,其余20例未出现复发及远处转移。结论腹腔镜行结直肠肿瘤切除术安全可行,疗效理想,值得推广应用
ObjectiveTo observe the clinical efficacy of laparoscopic radical operation for colorectal cancer. MethodsTwenty-three cases of colorectal cancer were treated with corresponding laparoscopic radical operation according to the tumor locations. ResultsLaparoscopic colorectal tumor resections were successfully performed in 23 patients, no patient was converted to open surgery; the operative time was 130-245(164±36)min; the intraoperative blood loss was 50-300(120±40)mL;the number of colon lymph nodes was 11-24(16±3); the number of rectal lymph nodes was 4-15(9±2); bowel function recovery time was 32-60(40±12)h. Postoperative wound infection occurred in 2 cases, no patients with postoperative bleeding, No anastomotic leakage and other complications occurred, and the overall complication rate was 8.7%. All patients were discharged, no patients died during perioperative. Both 22 patients were followed up from 6 months to 28 months,2 patients died of abdominal widespread metastasis,and other patients with no recurrence and distant metastasis occur. ConclusionLaparoscopic radical operation for colorectal cancer is safe and feasible, it is possible to achieve the desired therapeutic effect, and can be widely applied.

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