摘要
目的探讨腹腔镜结肠癌根治术的临床效果。方法对25例结肠癌实施腹腔镜结肠癌根治术，其中17例行腹腔镜辅助结肠癌根治术，8例行全腹腔镜结肠癌根治术。结果手术时间110—310min，平均195min。术中出血量100—350ml，平均180ml。术后胃肠功能恢复时间1—4d，平均1．7d。术后病理标本残端无肿瘤细胞残留、浸润。术后2例切口感染，无出血、吻合口瘘和狭窄。术后住院6—10d，平均7．5d。术后19例随访2—38个月，平均13个月，17例无肿瘤复发及切口种植，2例手术后12、14个月因广泛转移死亡。结论腹腔镜结肠癌根治具有微创、安全、术后恢复快、肿瘤根治彻底等优点，值得临床推广应用。
Objective To evaluate clinical effects of laparoscopic radical colectomy for colon carcinoma. Methods Laparoscopic radical colectomy were performed in 25 patients with carcinoma of colon, including 17 cases of laparoscopic-assisted radical colectomy, and 8 cases of laparoscopic radical colectomy. Results Operation time was 100 - 310 min, with an average of 195 min. The mean of intraoperative blood loss was 180 ml（ range, 100 -350 ml）. Time to first bowl movement was 1 -4 days（ mean, 1.7 days）. Postoperative pathological examination revealed no residual and infiltration of tumor cells in stump. Infection of incision wound occurred in 2 cases, with no bleeding, leakage and stenosis of anastomosis. The length of postoperative hospital stay was 6 - 10 days, with an average of 7. 5 days. 19 cases were followed up for 2 - 38 months （ mean, 13 months） , which showed no tumor recurrence and port-site metastasis in 17 cases, 2 cases died from extensive metastasis at 12 and 14 months postoperatively. Conclusions Laparoscopic radical colectomy has advantages of minimal invasion, safety, quicker recovery after operation, better radical curative results.
出处
《中国微创外科杂志》
CSCD
2007年第9期837-838,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
腹腔镜
结肠癌
Laparoscope
Carcinoma of Colon
