文档介绍：, , , ,
医学研究生学报 2012 年 10 月第 25 卷第 10 期 J Med Postgra Vol. 25 No. 10 October 2012 ·1069·
论著
临床研究
腹腔镜直肠癌根治术的解剖及操作要点分析
孙建军,经巍,李新平,姬舒荣,葛步军,范跃祖,刘文方
, ,
[摘要] 目的近年来腹腔镜结直肠手术已广泛开展文中探讨腹腔镜结直肠癌根治术的入路选择、镜下解剖及操作
, ,
要点。方法回顾性分析 68 例腹腔镜直肠癌根治患者的临床资料及手术录像。结果 64 例手术成功 4 例中转开腹 64
, , , , ,
例平均手术时间 165 min 平均出血量 120 ml 平均住院 11 d。术后大出血 1 例不全性肠梗阻 1 例肠管损伤 1 例无吻合口漏
,
及切口感染无围手术期死亡病例。结论腹腔镜直肠癌根治术效果较好良好的暴露、恰当的入路、正确的层次和熟练的
镜下操作是手术成功的关键。
[关键词] 直肠肿瘤直肠癌根治术腹腔镜手术
[中图分类号] R735. 37 [文献标志码] A [文章编号] 1008-8199 2012 10-1069-03
Anatomical characteristics and operating essentials of laparoscopic resection for colorectal carcinoma
, , , , , ,
SUN Jian-jun JING Wei LI Xin-ping JI Shu-rong GE Bu-jun FAN Yue-zu LIU Wen-fang
, , ,
Department of General Surgery Tongji Hospital Affiliated to Tongji University Shanghai 200065 China
[ ] ,
Abstract Objective The purpose of this study was to investigate the surgical approach anatomical characteristics and op-
erating essentials of laparoscopic resection for colorectal carcinoma. Methods We retrospectively analyzed the clinical data and op-
,
eration video of 68 cases of rectal carcinoma treated by laparoscopic resection. Results Operations were essful in all the cases
, ,
of which 4 were converted to open surgery. The operation time intraoperative blood loss and hospital stay averaged 165 min 120 ml
, , ,
and 11 d