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目的探讨大肠癌手术中应用腹腔镜的适应证及临床效果。方法回顾分析28例患者手术操作、血管定位、并发症及术后康复的临床资料。结果26例手术获成功,2例中转开腹,2例二次手术。手术时间110～300min,平均150min;术中出血30～550ml,平均115ml;肠蠕动恢复时间平均60h;平均住院13d;术中无大出血,术后吻合口瘘1例,肠梗阻1例,不全肠梗阻1例,输尿管损伤1例,无因并发症死亡病例。结论腹腔镜大肠癌手术具备微创、患者康复快的特点。但在选择病例时应该慎重,Mile术和低位保肛术较为适合。
Objective To investigate the indications and clinical effects of laparoscopy in colorectal cancer surgery. Methods A retrospective analysis of 28 patients with surgical operation, vascular positioning, complications and postoperative rehabilitation of clinical data. Results 26 cases of successful surgery, 2 cases of laparotomy, 2 cases of second surgery. The operation time was 110-300min with an average of 150min. The intraoperative hemorrhage was 30-550ml with an average of 115ml. The average recovery time of intestinal peristalsis was 60h and the average hospitalization was 13 days. There was no intraoperative hemorrhage, 1 case of anastomotic fistula, 1 case of intestinal obstruction, 1 case of obstruction, 1 case of ureteral injury, no death due to complications. Conclusion Laparoscopic colorectal cancer surgery with minimally invasive, fast recovery characteristics. But in the choice of cases should be careful, Mile surgery and low security anal surgery is more suitable.