实用肿瘤学杂志 ›› 2010, Vol. 24 ›› Issue (4): 362-364.doi: 10.3969/j.issn.1002-3070.2010.04.018

• 论著 • 上一篇    下一篇

腹腔镜结直肠癌根治术97例临床观察及分析

韩鹏1, 翟云起2, 崔滨滨1, 王锡山1, 于志伟1, 李栗1   

  1. 1.哈尔滨医科大学附属肿瘤医院结直肠外科(哈尔滨 150040);
    2.黑龙江省大庆市龙南医院肛肠外科
  • 收稿日期:2010-03-29 出版日期:2010-08-28 发布日期:2015-01-24
  • 通讯作者: 崔滨滨,E-mail:cbb222@hotmail.com
  • 作者简介:韩鹏,男,(1983-),硕士,从事腹部外科恶性肿瘤的治疗
  • 基金资助:
    黑龙江省教育厅课题(11541129)

Clinical observation and analysis of 97 caseson laparoscopic resection of colorectal cancer

HAN Peng1, ZHAI Yunqi2, CUI Binbin1, WANG Xishan1, YU Zhiwei1, LI Li1   

  1. 1.Department of Colorectal Surgery,The Affiliated of Tumor Hospital,Harbin 150040;
    2.Department of Anorectal Surgery,Longnan Hospital,Daqing 163000
  • Received:2010-03-29 Online:2010-08-28 Published:2015-01-24

摘要: 目的 探讨腹腔镜下施行结直肠癌根治术的可行性。方法 回顾性分析我院自2009年1月-2009年12月所实施的97例腹腔镜结直肠癌根治术患者的临床资料。结果 全组均在腹腔镜下完成,行腹腔镜下Dixon术32例,Miles术28例,Hartmann术5例,乙状结肠癌根治术16例,左半结肠癌根治术12例,右半结肠癌根治术4例。2例中转开腹,中转开腹率2.06%。97例结直肠癌患者淋巴结清扫均达第3站。手术时间(193.1±58.3)min。手术出血量(58.3±19.67)mL,术后胃肠道功能恢复时间(2.1±0.7)d,平均53h。术后镇痛泵应用时间(1.3±0.75)d,住院天数(7.1±2.3)d,术后标本切缘均未见癌,淋巴结清扫数(8.6±4.9)枚。术后至今均获随访,肝转移1例,l例于术后2月死于心梗,其余95例无局部、腹盆淋巴结转移复发和切口种植等。结论 腹腔镜下结直肠癌根治术具有微创、安全、切口小、视野清、恢复快等特点,具有可行性。

Abstract: Objective To investigate the feasibility of laparoscopic resection of colorectal cancer.Methods Retrospective analysis of our hospital from January 2009 to December 2009 of the implementation of laparoscopic resection in 97 colorectal cancer patients with clinical data.Results Dixon laparoscopic surgery 32 cases,Miles operation in 28 cases,Hartmann 5 patients,sigmoid colon cancer radical operation in 16 cases,left colon cancer radical operation 12 cases,right colon cancer radical operation 4 cases.97 cases of colorectal cancer patients with lymph node dissection up to the third station.Operative time was 193.1±58.3min.Surgical bleeding 58.3±19.6mL,postoperative gastrointestinal function recovery time 2.1±0.7d,an average of 53h.Postoperative hospitalization days 15.1± 3.1d.No cancer was found in two cutting edges.The number of lymph node dissection 8.6±4.9 pieces.Patients were followed up so far,in the 97 cases of postoperative,one case of liver metastasis,one died of postoperative myocardial infarction in two months later.No local,abdominal lymph node metastasis and recurrence,and incision metastasis.Conclusion Laparoscopic resection of colorectal cancer with a minimally invasive,safe,small incision,clear vision and rapid recovery features,is feasible.

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