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目的探讨手助腹腔镜下结直肠癌根治手术的术中策略及临床疗效。方法通过建立气腹,根据病变部位的不同,放置“蓝碟”手助器和trocar,行手助腹腔镜下结直肠癌根治手术20例,结合临床及病理学资料,观察手助器腹腔镜技术在结直肠癌手术中的实施过程,及术中、术后临床效果。结果 20例均完成了手助腹腔镜下根治手术,无一例中转开腹,平均手术时间124min,术中平均出血量50ml,平均清扫淋巴结数量12枚,术后平均肠功能恢复时间为(2±1)d。术后炎性肠梗阻1例,经保守治疗缓解。无吻合口瘘等并发症。结论手助腹腔镜下结直肠癌根治手术具有安全、创伤小、达到根治目的、术后恢复快等优点,值得临床推广应用。
Objective To discuss the intraoperative strategies and clinical effects of hand-assisted laparoscopic radical mastectomy for colorectal cancer. Methods By establishing pneumoperitoneum, placing “Blu-ray” hand-aid and trocar according to the different parts of the lesion. Twenty patients underwent laparoscopic radical resection of colorectal cancer. Combined with clinical and pathological data, Laparoscopic surgery in the implementation of colorectal cancer surgery, and intraoperative and postoperative clinical results. Results All patients underwent hand-assisted laparoscopic radical mastectomy. All patients underwent laparoscopic radical mastectomy. The average operative time was 124 min, the mean intraoperative blood loss was 50 ml, the average number of lymph nodes dissected was 12, and the mean postoperative bowel function recovery time was (2 ± 1) d. Postoperative inflammatory intestinal obstruction in 1 case, relieved by conservative treatment. No anastomotic leakage and other complications. Conclusion Hand-assisted laparoscopic radical resection of colorectal cancer is safe, less traumatic, and has the purpose of radical treatment and quick recovery after operation, which is worthy of clinical application.