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目的观察应用腹腔镜下行结直肠癌根治术的临床疗效。方法对2009年9月至2012年4月收治的34例结直肠癌患者行腹腔镜结直肠癌根治术临床资料进行回顾性分析。结果本组34例患者除1例中转开腹手术外,其余33例均在腹腔镜下顺利完成结直肠癌根治术,手术时间平均170min;术中出血量平均165ml;肠功能恢复时间平均20h。术后住院时间为平均10d。术后无出血、吻合口瘘、切口感染等并发症发生,无手术死亡病例。有18例患者于术后第2周接受为期4～10周的FOL-FOX4方案化疗,其中4例同时接受术后辅助放疗。随访3～18个月,平均9个月,1例患者于术后13个月复发并肝转移,其余患者均未发生复发、转移、切口种植等并发症。结论腹腔镜结直肠癌根治术具有手术视野清晰、患者痛苦少、恢复快、住院时间短、并发症少等优点,术中严格遵守结直肠癌根治原则和无瘤操作原则,完全可达到根治目的 ,是安全可行的。
Objective To observe the clinical effect of laparoscopic radical colorectal cancer radical surgery. Methods The clinical data of 34 patients with colorectal cancer undergoing laparoscopic radical mastectomy from September 2009 to April 2012 were analyzed retrospectively. Results In the group of 34 patients, except one case of laparotomy, the other 33 cases underwent laparoscopic radical mastectomy. The average operation time was 170 minutes. The average amount of bleeding during operation was 165ml. The average recovery time of intestinal function was 20 hours. Postoperative hospital stay for an average of 10d. No postoperative bleeding, anastomotic fistula, incision infection and other complications, no surgical deaths. Eighteen patients underwent FOL-FOX4 regimen for 4 to 10 weeks at the second postoperative week, and 4 of them received postoperative adjuvant radiotherapy. All cases were followed up for 3 to 18 months with an average of 9 months. One patient relapsed 13 months after operation and had liver metastases. No recurrence, metastasis or incision implantation occurred in the remaining patients. Conclusion Laparoscopic radical resection of colorectal cancer has the advantages of clear surgical field, less pain, rapid recovery, shorter hospital stay, less complications and so on. It strictly meets the principle of radical operation and tumor-free operation in colorectal cancer, , Is safe and feasible.