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目的探讨腹腔镜下直肠癌根治术的手术方法及临床疗效。方法对本院2011年1月~2013年8月78例腹腔镜下直肠癌根治术患者的临床资料进行回顾性分析。结果患者均成功实行腹腔镜手术,无中转开腹:平均手术时间(148.6±22.2)min,术中平均出血量(160.4±56.7)ml,术后肠功能恢复时间平均(48.4±16.6)h,术后出现切口感染1例,肠梗阻2例,切口疝0例,术后病理示清除的淋巴结数量为(13.3±4.2),住院时间平均(12.2±3.8)d。随访3~24个月,未发现腹壁小切口和穿刺孔种植转移。局部复发2例,其中1例术后6个月死亡,远处转移2例,均为肝转移。结论外悬吊法腹腔镜直肠癌根治术简化了手术,具有手术出血少、手术时间短、并发症少、疼痛轻、恢复快、住院时间短等优点,是一种安全、有效的手术方法。
Objective To investigate the surgical method and clinical efficacy of laparoscopic radical resection of rectal cancer. Methods The clinical data of 78 patients undergoing laparoscopic radical resection of rectal cancer from January 2011 to August 2013 in our hospital were analyzed retrospectively. Results Laparoscopic surgery was successfully performed in all patients. The mean operative time (148.6 ± 22.2) min, intraoperative average amount of bleeding (160.4 ± 56.7) ml, average recovery time of intestinal function after operation (48.4 ± 16.6) h, Postoperative incision infection in 1 case, intestinal obstruction in 2 cases, incisional hernia in 0 cases, the number of pathologically removed lymph nodes (13.3 ± 4.2), hospital stay (12.2 ± 3.8) d. Follow-up 3 to 24 months, no abdominal incision and puncture holes were found. Local recurrence in 2 cases, of which 1 case died 6 months after surgery, distant metastasis in 2 cases, are liver metastases. Conclusion The external suspension method of laparoscopic radical resection of rectal cancer to simplify the operation, with less bleeding, shorter operative time, fewer complications, pain, fast recovery, shorter hospital stay, etc., is a safe and effective surgical method.