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【摘要】目的探讨腹腔镜Dixon直肠癌根治术的临床应用价值。方法对132例直肠癌患者施行腹腔镜Dixon直肠癌根治术，总结其手术方法及随访结果。结果132例患者无一例手术死亡，均行保留肛门的Dixon直肠癌根治术， 手术时间平均180 min，术中出血量平均150 mL，肠功能恢复时间平均60 h，术后6例发生吻合口漏，平均随访12个月。结论腹腔镜Dixon直肠癌根治术安全可靠，术中出血少，术后恢复快， 对低位直肠癌拓宽了保肛的指征范围，值得临床推广应用。
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临床研究
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更新时间：2017-07-06
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腹腔镜Dixon直肠癌根治术132例临床分析
Clinical analysis on 132 cases of laparoscopic Dixon radical resection of rectal cancer
微创医学 201712卷03期 页码：338-339
作者机构：（昆明医科大学第二附属医院胃肠外科一病区，云南省昆明市650101)
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【Abstract】 ObjectiveTo investigate the clinical application value of laparoscopic Dixon radical resection of rectal cancer. MethodsA total of 132 patients with rectal cancer underwent laparoscopic Dixon radical resection. The surgical approach and the result of followup were summarized. ResultsIn 132 cases, no death occurred, and Dixon radical resection of rectal cancer with anuspreservation was performed.The average operative duration was 180 minutes. The average blood loss was 150ml. The average time for intestinal function recovery was 60 hours. Postoperative anastomotic leakage occurred in 6 cases. The average time for followedup was 12 months. ConclusionLaparoscopic Dixon radical resection of rectal cancer is safe and reliable, can reduce the intraoperative blood loss and obtains faster recovery postoperatively. It widens the indication range of anuspreservation for low rectal cancer and is worthy of clinical promotion and application.
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