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目的:探讨腹腔镜直肠癌手术术中常见并发症及其防治策略。方法:回顾性分析2009年1月—2010年8月腹腔镜结直肠癌手术87例的临床资料。结果:87例患者中,出现术中出血、术中肠破裂等并发症中转开腹患者15例,开腹后均顺利完成手术,术后恢复可,在7～14 d内顺利出院。结论:腹腔镜结直肠癌切除术中如出现并发症及异常情况时应及时中转开腹,以保证患者安全。
Objective: To investigate the common complications and prevention and treatment of laparoscopic rectal cancer surgery. Methods: The clinical data of 87 cases of laparoscopic colorectal cancer surgery from January 2009 to August 2010 were retrospectively analyzed. Results: Of the 87 patients, 15 cases had laparotomy, intraoperative hemorrhage, and intestinal rupture during laparotomy. All patients underwent laparotomy and successfully recovered after operation. The patients were discharged smoothly within 7-14 days. Conclusion: Laparoscopic colorectal cancer resection in the event of complications and abnormalities should be promptly converted to open laparotomy in order to ensure patient safety.