腹腔镜结直肠癌切除51例临床分析.doc:..腹腔镜结直肠癌切除51例临床分析马俊I张家骅丄马旭东I唐辉蓉I吴雪松I摘要目的探讨腹腔镜下结直肠癌根治的可行性和临床应用价值。方法对51例结直肠癌腹腔镜下行结直肠癌根治性切除的操作和临床治疗进行回顾性分析和总结。结果51例患者全部完成腹腔镜下根治性切除。平均手术时间3・7h,平均出血量70-80ml,平均拔出尿管时间7天,平均术后住院时间11天,术后吻合口痿4例,2例死仁2例治愈,***会阴痿1例,经再次手术治愈,肺部感染4例,切口感染3例,无输尿管、膀胱、前列腺、尿道损伤及人出血发生,淋巴结清扫平均7枚,随访3・24个月,复发4例,死亡1例,术口肿瘤种植1例,无肠梗阻病例发生。结论腹腔镜下结直肠癌切除可达根治性切除的效果,而且具有创伤小、恢复快、并发症发生率低的优势,有广阔的临床应用价值。关键词腹腔镜结肠直肠癌手术切除中图分类号::Clinicalanalysisfor5leasesoflaparoscopicoperationofcolorectalcarcinomaMaJunZhangJia-huaMaXu-dongTangHui-rongWuXue-songDepartmentofGeneralSurgery,thesecondaffiliatedhospitalofKunMingMedicalCollege,Kunming650101,:昆明医学院第二附屈医院普外科,:马俊,主治医师,主要从事普外临床研究。:张家骅,教授,Email:******@.・,theaverageofinteroperationbloodlossis70-80ml,theaveragetimeofthestomachtuberemovedis7days,thepost--operationanastomaticleakage4cases,2casedied,,,,bladder,prostatehurtandmassivehae
腹腔镜结直肠癌切除51例临床分析 来自淘豆网www.taodocs.com转载请标明出处.