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目的:总结腹腔镜下乙状结肠癌根治术应用经验。方法:对24例结肠癌患者行腹腔镜根治术的临床资料进行回顾性分析。结果:24例病人中1例因就医较晚,术中探查见肿瘤与周围浸润严重,无法腔镜下切除而中转开腹;1例因肠系膜下动脉分离时出血,止血困难而中转开腹。结论:腹腔镜下乙状结肠癌根治术安全可靠,淋巴结清扫可予开腹手术达到相同效果。
Objective: To summarize the experience of laparoscopic radical mastectomy for sigmoid colon cancer. Methods: The clinical data of 24 cases of colon cancer undergoing laparoscopic radical mastectomy were retrospectively analyzed. Results: One of the 24 patients was found to be late because of medical treatment. The intraoperative exploration showed that the tumor and surrounding infiltration were serious, and laparoscopic resection was unsuccessful and laparotomy. One patient died of hemorrhage and hemostasis due to separation of the inferior mesenteric artery. Conclusions: Laparoscopic radical resection of sigmoid colon cancer is safe and reliable, and lymphadenectomy can achieve the same effect after laparotomy.