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目的探讨腹腔镜结直肠癌根治术的临床治疗效果。方法221例结直肠癌病人施行腹腔镜手术,记录手术时间、出血量、并发症、肠功能恢复时间、住院时间。结果221例手术中除16例中转开腹外其余均完成腹腔镜手术,平均手术时间为156.4 min,失血量50~200 mL,平均肠功能恢复时间32.5 h,平均住院时间8.1 d。结论腹腔镜结直肠癌手术技术上是可行的,具有手术创伤小、术后恢复快、胃肠道干扰小、术后疼痛轻、瘢痕小等优点,其中短期效果令人满意,长期效果值得进一步探索。
Objective To investigate the clinical effect of laparoscopic radical resection of colorectal cancer. Methods A total of 221 patients with colorectal cancer underwent laparoscopic surgery. The operation time, blood loss, complications, recovery time of intestinal function and hospital stay were recorded. Results Of the 221 cases, all the patients underwent laparoscopic surgery except 16 cases who underwent open surgery. The average operation time was 156.4 minutes, the blood loss was 50-200 ml, the average recovery time was 32.5 hours and the average length of hospital stay was 8.1 days. Conclusions Laparoscopic colorectal surgery is technically feasible and has the advantages of small trauma, rapid postoperative recovery, small gastrointestinal disturbances, light postoperative pain and small scar, of which the short-term effect is satisfactory and the long-term effect is worth further explore.