期刊文献+

腹腔镜直肠癌根治术的临床体会 被引量:11

原文传递
导出
摘要 目的探讨腹腔镜直肠癌根治术的安全性和有效性。方法总结2008年10月~2010年3月32例直肠癌患者行腹腔镜直肠癌根治术的临床资料。结果 32例患者成功完成腹腔镜直肠癌根治术,无临近脏器损伤、大出血、腹腔感染和吻合口狭窄等并发症。手术时间(150.0±23.5)min,术中出血量(70±30)ml,清扫淋巴结数目(13.0±5.4)个。术后胃肠功能恢复时间(3.0±1.8)d,患者住院时间(12.1±4.8)d。3例术后应用止痛药物,1例Miles手术发生会阴部切口感染,经多次局部换药后痊愈。28例术后随访3~13个月,腹腔广泛转移1例。结论腹腔镜直肠癌根治术安全、有效,具有出血少、损伤小、术后恢复快等优点。
出处 《江苏医药》 CAS CSCD 北大核心 2010年第24期2961-2962,共2页 Jiangsu Medical Journal
  • 相关文献

参考文献7

  • 1Clinical Outcomes of Surgical Therapy Study Group. A com- parison of laparoscopically assisted and open colectomy for colon cancer[J]. N Engl J Med,2004,350 (20) :2050-2059.
  • 2Veldkamp R, Kuhry E, Hop WC, et al. Laparoscopic surgery versus open surgery for colon cancer: short term outcomes of a randomised trial[J]. Lancet Oncol, 2005,6 (7) : 477-484.
  • 3Guillou PJ ,Quirke P,Thorpe H,et al. Short-term endpoints of conventional versus laparoscopic assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre, randomised controlled trial [J]. Lancet, 2005, 365 ( 9472 ) : 1718-1726.
  • 4李军,丁克峰,张苏展.结直肠癌患者经腹腔镜手术后短期疗效和安全性的荟萃分析[J].中华医学杂志,2006,86(35):2485-2490. 被引量:36
  • 5Reza MM, Blasco JA, Andradas E, et al. Systematic review of laparoscopic versus open surgery for colorectal cancer[J]. Br J Surg, 2006,93 (8) 1921-928.
  • 6郑民华,毛志海.腹腔镜手术在胃肠外科的应用现状[J].中华胃肠外科杂志,2005,8(5):389-391. 被引量:39
  • 7腹腔镜结肠直肠癌根治手术操作指南(2006版)[J].外科理论与实践,2006,11(5):462-464. 被引量:274

二级参考文献44

  • 1郑民华.论腹腔镜结肠直肠手术[J].外科理论与实践,2004,9(6):453-454. 被引量:31
  • 2郑民华,陆爱国,胡伟国,冯波,臧潞,王明亮,毛志海,李健文,董峰,胡艳艳,蒋渝.腹腔镜胰十二指肠切除术治疗胆总管下段癌(附一例报告)[J].外科理论与实践,2005,10(3):225-228. 被引量:43
  • 3郑民华.腹腔镜结直肠癌手术的原则与评价[J].中华外科杂志,2005,43(17):1105-1108. 被引量:74
  • 4谭学瑞,张学中.临床试验刍议[J].世界华人消化杂志,2005,13(18):2173-2178. 被引量:2
  • 5Mihelet I,Agresta F. Perforated peptic ulcer: laparoscopic approach. Eur J Surg, 2000, 166: 405-408.
  • 6Liu JY,Woloshin S,Laycock WS,et al. Late outcomes after laparoscopic surgery for gastroesophageal reflux. Arch Surg,2002,137:397-401.
  • 7Velanovich V,Karmy-Jones R. Surgical management of paraesophageal hernias:outcome and quality of life analysis. Dig Surg,2001,18:432-438.
  • 8Kitano S,Shiraishi N. Current status of laparoscopic gastrectomy for cancer in Japan. Surg Endosc,2004,18:182-185.
  • 9Ohgami M,Otani Y,Furukawa T,et al. Curative laparoscopic surgery for early gastric cancer:eight years experience. Nippon Geka Gakkai Zasshi,2000,101:539-545.
  • 10Ballesta-Lopez C, Bastida-Vila X, Catarci M, et al. Laparoscopic Billroth Ⅱ distal subtotal gastrectomy with gastric stump suspension for gastric malignancies. Am J Surg,1996,171: 289-292.

共引文献342

同被引文献71

  • 1苏冀,黄忠诚.腹腔镜下直肠癌根治术的临床分析[J].湖南师范大学学报(医学版),2008,5(2):17-19. 被引量:1
  • 2张建立.腹腔镜结、直肠癌根治术中转开腹手术原因分析[J].青岛大学医学院学报,2005,41(4):313-314. 被引量:2
  • 3The Clinical Outcomes of Surgical Therapy Study Group.A comparison of laparoscopically assisted and open colectomy for colon cancer[J].N Engl J Med,2004,350 (20):2050-2059.
  • 4Guillou P,Quirke P,Thorpe H,et al.Short-term endpoints of conventional versus laparoscopic assisted surgery in patients with colorectal cancer (MRC CLASICC trial):multicentre,randomised controlled trial[J].Lancet,2005,365 (9472):1718-1726.
  • 5Anderson C,Uman G,Pigazzi A.Oncologic outcomes of laparoscopic surgery for rectal cancer:a systematic review and meta-analysis of the literature[J].Eur J Surg Oncol,2008,34(10):l135-l142.
  • 6Videtic GM,Fisher BJ,Perera FE,et al.Preoperative radiation with concurrent 5-fluorouracil continuous infusion for locally advanced unresectablerectal cancer[J].Int J Radiat Oncol Biol Phys,1998,42(2):319-324.
  • 7Wagman R,Minsky BD,Cohen AM,et al.Sphincter preservation in rectal cancer with preoperative radiation therapy and coloanal anastomosis:long term follow-up[J].Int J Radiat Oncol Bid Phys,1998,42(1):51-57.
  • 8Swedish Rectal Cancer Trial.Improved survival with preoperative radiotherapy in resectable rectal cancer[J].N Engl J Med,1997,336(14):980-987.
  • 9Sauer R,Becker H,Hohenberger W,et al.Preoperative versus postoperative chemoradiotherapy for rectal cancer[J].N Engl J Med,2004,351(17):1731-1740.
  • 10The Colon Cancer Lapamscopic or Open Resection Study Group. Survival after laparo- scopic surgery versus open sur- gery for colon cancer: longterm outcome of a randomised clini- cal trial [ J ]. Lancet Oncd, 2009,10 ( 1 ) :44-52.

引证文献11

二级引证文献31

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部