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1张家骅2马旭东1唐辉蓉1吴雪松1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,术后吻合口瘘4例,2例死亡,2例治愈,***会阴瘘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、尿道损伤及大出血发生,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::AClinicalanalysisfor51casesoflaparoscopicoperationofcolorectalcarcinomaMaJunZhangJia-huaMaXu-dongTangHui-rongWuXue-songDepartmentofGeneralSurgery,thesecondaffiliatedhospitalofKunMingMedicalCollege,Kunming650101,,theaverageofinteroperationbloodlossis70-80ml,theaveragetimeofthestomachtuberemovedis7days,thepost--operationanastomaticleakage4cases,2casedied,,,,bladder,-upperiodwas3-,