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目的探讨结直肠癌合并肠梗阻的微创手术治疗方法。方法回顾性分析该院2009年7月～2010年12月14例结直肠癌合并肠梗阻急诊病例,行结肠镜与腹腔镜联合微创手术的临床资料。结果 14例患者经肠镜放置支架均成功,无穿孔发生。腹腔镜下7例行直肠癌根治术,5例行乙状结肠癌切除术,2例行左半结肠癌切除术,均行一期吻合,术后1例出现肺部感染,无吻合口漏,无伤口感染,均恢复顺利。结论结直肠癌合并肠梗阻时联合应用肠镜及腹腔镜技术进行微创手术,具有较好的临床应用价值。
Objective To investigate the minimally invasive surgical treatment of colorectal cancer with intestinal obstruction. Methods The clinical data of 14 patients with colorectal cancer complicated with intestinal obstruction in our hospital from July 2009 to December 2010 were analyzed retrospectively. The clinical data of combined colonoscopy and laparoscopic minimally invasive surgery were retrospectively analyzed. Results All the 14 patients underwent colonoscopy by stenting. No perforation occurred. Laparoscopic resection of rectal cancer in 7 cases, 5 cases of sigmoid colon resection, 2 cases of left colon resection, were an anastomosis, 1 case of postoperative pulmonary infection, no anastomotic leakage, no Wound infection, are recovered smoothly. Conclusion Colorectal cancer with intestinal obstruction combined with colonoscopy and laparoscopy for minimally invasive surgery, has good clinical value.