摘要
目的评价总结在腹腔镜下结直肠癌根治术的优点、特点、技巧及方法。方法选择结直肠癌患者作为该次研究患者或研究对象,患者收取时间在2015年1月—2018年1月,5例结直肠癌患者均进行腹腔镜下结直肠癌根治术,完成左半结肠切除术患者2例,直肠前切除(Dixon术式)患者2例,因肿瘤局部转移粘连中转开腹发现无法切除患者1例,分析5例结直肠癌患者的治疗各项指标。结果在5例结直肠癌患者中,无手术死亡及吻合口漏.手术时间180~400min、手术平均时间为(240.01±0.01)min、术中平均出血量(150.02±0.02)mL,在初期手术时间由于操作熟练因素,时间较长,出血量较多,后期熟练后手术时间及出血量均明显减少;经4~12个月随访,未发现结直肠癌患者切口种植,局部复发及转移;5例结直肠癌患者切除肿瘤直径(3.23±0.23)cm、切口淋巴结数目(13.23±1.93)枚、住院时间(9.23±1.23)d、排便时间(2.01±0.23)d、排气时间(23.45±1.29)h,取得显著的效果;在5例结直肠癌患者中,有1例患者发生并发症,并发症发生率为20.00%,在经过处理后,患者并发症缓解。结论腹腔镜手术治疗结直肠癌患者,手术安全性较高,且能够缩短患者住院时间、排便时间以及排气时间,促进患者早期康复,值得研究。
Objective To evaluate the advantages,characteristics,techniques and methods of laparoscopic radical resection of colorectal cancer.Methods Patients with colorectal cancer were selected as the study patients or subjects.The patients were charged between January 2015 to 2018.5 patients with colorectal cancer underwent laparoscopic radical resection of colorectal cancer,2 cases complete the left colon resection.2 cases with anterior rectal resection (Dixon surgery),1 case of unresectable patients due to local metastasis of tumor metastasis,and 5 cases of colorectal cancer patients were analyzed.Results In 5 patients with colorectal cancer,there was no operative death and anastomotic leakage.The operation time was 180-400 min,the average operation time was (240.01±0.01) min,and the average intraoperative blood loss was (150.02±0.02) mL.Due to operational proficiency factors,the operation time was longer and the amount of bleeding was more.After the proficiency,the operation time and the amount of bleeding were significantly reduced.After 4-12 months of follow-up,no incision,local recurrence and metastasis were found in patients with colorectal cancer.5 cases of colorectal cancer patients with resected tumor diameter (3.23±0.23) cm,incision lymph node number (13.23±1.93),hospitalization time (9.23±1.23) d,defecation time (2.01±0.23) d,exhaust time (23.45±1.29)h,achieved significant results;in 5 patients with colorectal cancer,1 patient had complications,the complication rate was 20.00%,after treatment,the patient's complications were relieved.Conclusion Laparoscopic surgery for patients with colorectal cancer is safe,and it can shorten the hospitalization time,defecation time and exhaust time,and promote early rehabilitation of patients.It is worthy of study.
作者
陆文明
朱荣祥
LU Wen-ming;ZHU Rong-xiang(Gejiu Traditional Chinese Medicine Hospital,Honghe Prefecture,Yunnan Province,661400 China)
出处
《世界复合医学》
2019年第4期53-55,共3页
World Journal of Complex Medicine
关键词
腹腔镜
结直肠癌
手术
分析
Laparoscopy
Colorectal cancer
Surgery
Analysis
