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目的 探讨电视腹腔镜手术在治疗结肠直肠癌中的应用、手术方法及临床效果。方法 利用腹腔镜技术对 78例结肠直肠癌的患者进行手术 ,并对手术操作、并发症的出现及术后恢复等情况进行总结性分析。 结果 78例患者采用电视腹腔镜方法完成手术 ,无因术后并发症而死亡的病例。经随访 ,1、3、5年生存者分别为 2 1、17、8例 ;术后因肿瘤转移死亡 11例 ,其他原因死亡 2例 ;失访 10例 ;余 9例为术后不足 1年时间的患者 ,除 1例术后 11个月发生肿瘤肝转移需行手术切除外 ,其他 8例尚未见肿瘤的复发及转移。 结论 只要掌握好腹腔镜的操作技巧及结肠直肠癌切除的手术指征 ,用腹腔镜的方法治疗结肠直肠癌不但是可行的 ,而且具有广阔的前景。
Objective To investigate the application of laparoscopic surgery in the treatment of colorectal cancer, surgical methods and clinical effects. Methods Laparoscopic surgery was performed in 78 patients with colorectal cancer. The surgical operation, complications and postoperative recovery were analyzed retrospectively. Results 78 patients underwent TV laparoscopic surgery without any complications due to complications. After follow-up, 1, 3 and 5-year survivors were 21,17 and 8 respectively. Eleven patients died of tumor metastasis after surgery, 2 died of other causes, 10 patients lost follow-up, and the remaining 9 patients were less than 1 year after operation Time of patients, in addition to a case 11 months after the occurrence of liver metastases need surgical resection, the other 8 cases have not yet seen tumor recurrence and metastasis. Conclusions As long as laparoscopic operation skills and colorectal cancer resection indications, laparoscopic treatment of colorectal cancer is not only feasible, but also has broad prospects.