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目的观察腹腔镜下逆向全结肠切除,回肠直肠吻合治疗结肠多源癌的短期效果并近年文献复习。方法应用腹腔镜对2例结肠多源癌患者行全结肠直肠切除,回肠直肠吻合。观察手术安全性、术后恢复情况以及短期随访。结果 2例手术均顺利完成,手术平均时间237.5min,平均出血115ml,辅助切口平均长度7.5cm,术后病人平均排气时间为4.5d,术后平均住院天数8d。结论腹腔镜下全结直肠切除术治疗结肠多源癌是安全、可行的,而且逆向手术方式可降低手术难度,有利于血管根部淋巴结清扫,对于具备开腹手术经验的腔镜外科医生是一个选择。
Objective To observe the short-term effect of laparoscopic reverse total colon resection and ileostomy in the treatment of colorectal cancer and to review the literature in recent years. Methods Laparoscopy was performed in 2 patients with multiple colon cancer and received total colorectomy and ileostomy. To observe the safety of surgery, postoperative recovery and short-term follow-up. Results The two operations were successfully completed. The mean operation time was 237.5 minutes. The average bleeding time was 115ml. The average length of auxiliary incision was 7.5cm. The mean duration of postoperative extubation was 4.5 days. The mean duration of postoperative hospital stay was 8 days. Conclusion Laparoscopic total colorectal resection for colorectal cancer is safe and feasible, and the reverse operation can reduce the difficulty of operation, is conducive to the root canal lymph node dissection, for laparoscopic surgeons with experience in laparotomy is an option .