论文部分内容阅读
目的探讨无瘤技术在腹腔镜直肠癌根治术中实施的常见问题及对策。方法选取2010年3月至2015年3月间收治的80例直肠癌患者,回顾性分析采用无瘤技术实施腹腔镜直肠癌根治术患者的临床资料。结果 80例患者中,行全直肠腹膜切除术73例,手术时间(276±45)min;行腹腔镜下经腹会阴直肠切除术7例,手术时间(198±31)min。患者术后72 h内恢复肠功能,住院1~2周后出院。术后56例获得有效随访,随访时间6~36个月,4例(7.1%)患者复发或转移,其中2例患者分别在11个月和19个月发生肝转移,1例患者7个月发生会阴部转移,1例患者5个月发生吻合复发。结论结肠癌根治术中严格遵循无瘤操作原则,可有效地降低癌细胞转移和种植风险,提高患者生活质量。
Objective To investigate the common problems and countermeasures of tumor-free technique in laparoscopic radical resection of rectal cancer. Methods Eighty patients with rectal cancer who were treated between March 2010 and March 2015 were retrospectively analyzed. The clinical data of patients undergoing laparoscopic radical resection of rectal cancer with tumor-free technique were retrospectively analyzed. Results In 80 patients, 73 patients underwent total rectal peritoneal resection for 276 ± 45 min. Laparoscopic perineal resection was performed in 7 patients. The operative time was (198 ± 31) min. The patient recovered bowel function within 72 hours after operation and was discharged after hospitalization for 1 to 2 weeks. Sixty-six patients were followed up for 6 to 36 months. Four patients (7.1%) had recurrence or metastasis. Two patients developed hepatic metastases at 11 months and 19 months respectively and one patient underwent 7 months Occurrence of perineal metastasis, 1 patient 5 months anastomosis recurrence. Conclusion The principle of tumor-free operation in radical resection of colon cancer is strictly followed, which can effectively reduce the risk of cancer metastasis and implantation and improve the quality of life of patients.