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中华腔镜外科杂志(电子版) ›› 2016, Vol. 09 ›› Issue (01) : 41 -43. doi: 10.3877/cma.j.issn.1674-6899.2016.01.011

所属专题: 经典病例 文献

论著

完全腹腔镜前侧切除术治疗直肠癌51例临床分析
王峰1,(), 邱涛1, 龚旭晨1   
  1. 1. 830001 乌鲁木齐,新疆自治区人民医院肛肠外科
  • 收稿日期:2015-11-21 出版日期:2016-02-28
  • 通信作者: 王峰

Clinical analysis of 51 cases of laparoscopic surgery rectal cancer

Feng Wang1,(), Tao Qiu1, Xuchen Gong1   

  1. 1. Anorectal Surgery, The People′s Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830001, China
  • Received:2015-11-21 Published:2016-02-28
  • Corresponding author: Feng Wang
  • About author:
    Corresponding author: Wang Feng, Email:
引用本文:

王峰, 邱涛, 龚旭晨. 完全腹腔镜前侧切除术治疗直肠癌51例临床分析[J/OL]. 中华腔镜外科杂志(电子版), 2016, 09(01): 41-43.

Feng Wang, Tao Qiu, Xuchen Gong. Clinical analysis of 51 cases of laparoscopic surgery rectal cancer[J/OL]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2016, 09(01): 41-43.

目的

探讨完全腹腔镜前侧切除术治疗直肠癌的临床疗效。

方法

回顾性分析2013年1月至2014年12月在新疆自治区人民医院行完全腹腔镜前侧切除术治疗的51例直肠癌患者的完整临床资料,研究其安全性与有效性。

结果

51例患者未出现一例术中死亡,其中46例腹腔镜手术顺利完成,5例(9.8%)进行中转开腹。手术时间(114.0± 57.2)min,术中出血(107.4 ± 72.9)ml。术后感染1例,经积极治疗后治愈。

结论

采用完全腹腔镜前侧切除术治疗直肠癌是一种有效的治疗方案,具有损伤小、并发症少、生存率高及复发率低、康复快等优势,值得推广。

Objective

To discuss laparoscopic surgery anterior resection clinical efficacy of the treatment of rectal cancer.

Methods

Retrospective analysis of Jan. 2013 to Dec. 2014 in our hospital during the laparoscopic surgery rectal anterior resection treatment of 51 cases of rectal cancer patients with complete clinical data as the research object, the study on the safety and effectiveness of this method of treatment.

Results

51 patients did not appear death cases, including 46 cases of laparoscopic operation is completed, the remaining 5 cases (9.8%) were converted to laparotomy. Operation time was (114.0 ± 57.2) min, the bleeding amount in operation process (107.4 ± 72.9) ml. Postoperative infection in 1 case, positive after treatment were improved.

Conclusions

The use of laparoscopic surgery anterior resection for rectal cancer is a kind of effective treatment, with little injury, fewer complications, survival rate and recurrence rate, quick recoveryand a series of advantages, is worthy of promotion.

表1 直肠癌患者的术中情况
表2 直肠癌患者的术后情况
1
王耿泽,厉冰,任武,等. 腹腔镜直肠癌Dixon术后并发症的防治体会[J]. 中国临床实用医学,2011, 4(6): 205-207.
2
史自强.腹腔镜下直肠癌前侧切除术临床疗效观察[J].河南医学研究,2014,23(3): 88-89.
3
Silecchia G, Perrotta N, Giraudo G, et al. Abdominal wall recurrences after colorectal resection for cancer: results of the Italian registry of laparoscopic colorectal surgery[J]. Diseases of the Colon & Rectum, 2002, 45(9): 1172-1177.
4
罗育青,袁阳春,林嘉瑜. 左半结肠癌急性肠梗阻的两种一期切除吻合方法比较[J]. 中外医学研究,2012, 10(2): 1-2.
5
Rhee HJVD, Coomans CP, Velde PVD, et al. Illness, health and sunlight[J]. Nederlands Tijdschrift Voor Geneeskunde, 2013, 157(46): 6612.
6
Lujan HJ, Plasencia G, Jacobs M, et al. Long-term survival after laparoscopic colon resection for cancer[J]. Diseases of the Colon & Rectum, 2002, 45(4): 491-501.
7
叶颖江,申占龙,曹键,等. 提肛肌外腹会阴联合切除术在低位直肠癌治疗中的初步应用[J]. 中国实用外科杂志,2012, 32(6): 456-458.
8
Welsch T, Mategakis V, Contin P, et al. Results of extralevator abdominoperineal resection for low rectal cancer including quality of life and long-term wound complications[J]. International Journal of Colorectal Disease, 2013, 28(4): 503-510.
9
Masaya, Mukai, Kyoko, et al. Efficacy of hybrid 2-port hand-assisted laparoscopic surgery (mukai′s operation) for patients with primary colorectal cancer[J]. Oncology Reports, 2009, 22(4): 893-899.
10
Pattana-Arun J, Sahakitrungruang C, Atithansakul P, et al. Multimedia article. Hand-assisted laparoscopic total mesorectal excision: a stepwise approach[J]. Diseases of the Colon & Rectum, 2009, 52(10): 1787.
11
Kanoh T, Monden T, Yano H, et al. Hand-assisted laparoscopic low anterior resection for rectal carcinoma[J]. Journal of Laparoendoscopic & Advanced Surgical Techniques, 2005, 15(6): 611-614.
12
Tutchenko MI, Andriiets' VS, Kliuzko IV, et al. Manual-assisted laparoscopic interventions in coloproctologic diseases[J]. Klinichna Khirurhiia, 2013, 8(1): 17-19.
13
Pedraza R, Aminian A, Nieto J, et al. Single-incision laparoscopic colectomy for cancer: short-term outcomes and comparative analysis[J]. Minimally Invasive Surgery, 2013, 107(3): 283-438.
14
Ozturk E, Da LMA, Vogel JD. Hand-assisted laparoscopic colectomy: the learning curve is for operative speed, not for quality[J]. Colorectal Disease the Official Journal of the Association of Coloproctology of Great Britain & Ireland, 2010, 12(10): 304-309.
15
Welsch T, Mategakis V, Contin P, et al. Results of extralevator abdominoperineal resection for low rectal cancer including quality of life and long-term wound complications[J]. International Journal of Colorectal Disease, 2013, 28(4): 503-510.
16
邵天松,梁杰雄,钟晨熙,等.腹腔镜与开腹直肠癌根治术临床疗效比较[J].中国医药,2014,9(4): 525-529.
17
熊皆兵.局部复发直肠癌患者的手术疗效及预后影响因素[J].中外医学研究,2013,11(3): 145-146.
18
邱泽成.胃肠外科术后肠道细菌移位的临床研究[J]. 中国现代药物应用,2014,2(2): 86-87.
19
王刚,吴荣德,于启海,等. 二氧化碳气腹对腹内感染炎症反应及细菌易位的影响[J]. 中国微创外科杂志,2008, 9(9): 841-844.
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