摘要
目的探讨腹腔镜大肠癌手术的安全性、根治性和存在的问题。方法回顾性分析2001年12月～2005年12月106例腹腔镜大肠癌手术。其中，腹腔镜Miles术25例、Dixon术17例、乙状结肠癌根治术10例，手助腹腔镜右半结肠切除术52例、左半结肠切除术2例。结果腹腔镜手术成功率83．1％（88／106），中转开腹率16．9％（18／106）。术中和术后并发症的发生率均为2．8％（3／106），无手术死亡病例。直肠癌（或肛管癌）平均清扫13．5枚淋巴结，结肠癌平均清扫23．4枚淋巴结。平均随访18．6个月，无腹壁穿刺孔或切口肿瘤复发。结论只要正确掌握适应证，严格遵循肿瘤根治原则，腹腔镜大肠癌手术是安全、有效的。
Objective To investigate the security, radical effect and some problems of laparoscopic surgery for colorectal cancer. Methods One hundred and six patients with colorectal cancer underwent laparoscopic surgery between Dec. 2001 and Dec. 2005 were reviewed retrospectively. There were laparoscopic Miles＇ operation in 25, Dixon＇ s operation in 17, radical sigmoidectomy in 10, hand - assisted laparoscopic right hemicolectomy in 52, left hemicolectomy in 2. Results Laparoscopy was completed in 88 patients （83.1%）, and the conversion rate was 16.9% （18/106）. The rate of intra - operative and postoperative complication each was 2.8% （3/106）. There was no death due to operation. The average number of lymph nodes excised for rectal （ or anal） cancer and colon cancer was 13.5, 23.4 respectively. There was no tumor recurrence on the port -site or wound during median follow -up of 18.6 months. Conclusions Laparoscopic surgery for colorectal cancer following radical principle is safe and effective for the patients with indications.
出处
《医学研究杂志》
2007年第2期34-36,共3页
Journal of Medical Research
关键词
腹腔镜术
结肠肿瘤
直肠肿瘤
Laparoscopy
Colon neoplasm
Rectal neoplasm
