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目的探讨腹腔镜辅助结直肠癌根治手术的临床应用效果。方法对2010年1月至2012年6月我院应用腹腔镜进行结直肠癌根治性手术的46例患者进行临床观察,并进行分析。结果 46例患者中,左半结肠切除术11例,直肠癌根治术30例,右半结肠切除术5例,右半结肠切除术中转开腹2例,无死亡病例。术后直肠组吻合口瘘2例行横结肠造瘘术,平均手术时间161min,平均术中出血量160ml,术后平均肠蠕动恢复时间2.4d。结论腹腔镜下结直肠癌根治术创伤小、恢复快、根治效果好、生活质量高,值得临床推广应用。
Objective To investigate the clinical effect of laparoscopic-assisted radical resection of colorectal cancer. Methods From January 2010 to June 2012, 46 patients with laparoscopic radical resection of colorectal cancer underwent clinical observation and analysis. Results Among the 46 patients, 11 cases were left-hysterectomy, 30 cases were treated by radical resection of the rectum, 5 cases were treated by right-sided colectomy and 2 cases were laparotomy by right-half colon resection without any death. Postoperative rectum anastomotic fistula 2 cases of transverse colostomy, the average operation time 161min, the average blood loss 160ml, postoperative average recovery of intestinal motility 2.4d. Conclusion Laparoscopic radical resection of colorectal cancer trauma, fast recovery, good curative effect, high quality of life, worthy of clinical application.