论文部分内容阅读
目的 探讨腹腔镜Dixon术治疗中低位直肠癌的方法与疗效。 方法 对 3例中低位直肠癌患者行腹腔镜Dixon术 ,术中将结肠和肛管外翻切除吻合 ,腹部不另做切口 ,常规放置肛管和经腹腔镜操作孔放置盆底引流管。 结果 手术时间平均 170 (15 0～ 2 10 )min ,术后 1～ 2d胃肠道功能恢复并下床活动 ,术后住院时间平均 9(8～ 11)d。 3例病人全部痊愈出院 ,无吻合口瘘及排便功能异常。 结论 该手术安全可行 ,创伤小 ,疼痛轻 ,恢复快。术中不在腹腔断肠 ,减少了腹腔污染及种植转移危险 ,不在腔镜下腹腔内肠吻合大大降低费用。
Objective To investigate the method and effect of laparoscopic Dixon in the treatment of low and middle rectal cancer. Methods 3 cases of low and middle rectal cancer patients underwent laparoscopic Dixon surgery, the operation of the colon and anal valgus resection and anastomosis, the abdomen without additional incision, the conventional placement of the anal canal and laparoscopic drainage holes placed on the pelvic floor. Results The average operation time was 170 (15 0 ~ 2 10) min. The function of gastrointestinal tract recovered and got out of bed one to two days after operation, and the average postoperative hospital stay was 9 (8 ~ 11) d. Three patients were fully discharged, no anastomotic leakage and defecation dysfunction. Conclusion The operation is safe and feasible, with less trauma, less pain and faster recovery. Intraoperative abdominal abdomen is not in the intestine, reducing the risk of peritoneal contamination and metastasis, not in endoscopic abdominal cavity anastomosis greatly reduce costs.