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目的:探讨腹腔镜结直肠癌根治术中转开腹手术的原因。方法:回顾性分析98例行腹腔镜结直肠癌根治手术患者的临床资料,对14例实施中转开腹手术原因进行分析。结果:因腹腔内出血中转开腹4例,肿瘤较低位1例,肿瘤较大4例,腹腔内脏器损伤1例,腹腔严重粘连2例,肥胖1例,吻合口渗漏1例。结论:腹腔脏器损伤和腔内出血是中转开腹主要原因。准确掌握手术适应证和禁忌证,可提高腹腔镜结直肠癌手术成功率。
Objective: To investigate the causes of laparoscopic radical nephrectomy in laparoscopic radical nephrectomy. Methods: A retrospective analysis of 98 cases of patients undergoing laparoscopic radical resection of colorectal surgery clinical data, analysis of the reasons for the implementation of 14 cases of laparotomy. Results: In 4 cases of laparotomy due to intra-abdominal hemorrhage, 1 case had lower tumor, 4 cases had larger tumor, 1 case had intra-abdominal organ injury, 2 cases had severe abdominal adhesions, 1 case had obesity and 1 case had anastomotic leakage. Conclusion: Abdominal organ injury and intracavitary hemorrhage are the main reasons for laparotomy. Accurate grasp of surgical indications and contraindications, can improve the success rate of laparoscopic colorectal cancer surgery.