30 cases of laparoscopic assisted radical resection of colon cancer in elderly patients clinical analysis.docVIP

 PAGE \* MERGEFORMAT 7 30 cases of laparoscopic assisted radical resection of colon cancer in elderly patients clinical analysis [Keywords:] laparoscopic radical operation for colorectal cancer clinical analysis of elderly With the improvement of laparoscopic technique, the application of ultrasonic knife, automatic cutting staples and the use of various cutting staplers, laparoscopic-assisted resection of colorectal cancer in China gradually began to spread. This paper summarizes the January 2000 to 2005 In December of 30 elderly patients with colon cancer effect of the laparoscopic surgical adjuvant treatment effects now reported as follows. 1 Materials and Methods 1.1 Clinical data of the group of 30 patients, 17 cases of males and 13 females, aged 62 to 70 years, mean age 65.3 years. 8 cases of ascending colon, transverse colon in 9 cases, 3 cases of descending colon, sigmoid colon cancer in 10 cases. Surgery before colonoscopy: tumor size 2 ~ 6 cm. histologic classification: 16 cases of adenocarcinoma, moderately differentiated adenocarcinoma in 7 cases, 5 cases of poorly differentiated adenocarcinoma, mucinous adenocarcinoma in 2 cases. Dukes stage: A period of 18 cases, B of the 10 cases, C in 2 cases. B ultrasound and CT examination: No extensive peritoneal metastasis, distant metastasis-free tumors, no obvious abdominal distension or intestinal obstruction and tumor perforation with peritonitis, no tumor fixed or invading into adjacent organs and the formation of fistula; mood, lung, liver, kidney and other major organ dysfunction. 1.2 All patients underwent surgical anesthesia, the surgeon station is located opposite the lesion, sometimes to be about conversion, assistant surgeon in the opposite side. Pneumoperitoneum pressure of 10 mmHg, determined according to tumor location, operation holes in the laparoscopic The following ligation with the filaments with both ends of bowel cancer, the tumor to the closure of the intestine into the