Laparoscopic colorectal surgery 35 cases.docVIP

 PAGE \* MERGEFORMAT 9 Laparoscopic colorectal surgery 35 cases With the improvement of minimally invasive techniques, laparoscopic surgery has been involved in many areas, especially in laparoscopic colorectal surgery has made significant progress. Our hospital in 1999 and 2009 lines of 35 cases of laparoscopic colorectal surgery with satisfactory results, are summarized as follows: 1 Materials and Methods 1.1 General Information The group of 35 patients, 22 male and 13 female; age of 31 to 71 years, mean 56 years old. Including cancer in 22 cases, 6 cases of colon cancer, sigmoid colon cancer at the junction of the rectum in 2 cases, 1 case of rectal cancer with liver metastases from left, descending colon in 2 cases, 1 case of rectal cancer with peritoneal metastasis. Duckes stage: A 1 case, B of the 22 cases, C of the 10 cases, D of 2 cases. 1.2 surgical procedures Under general anesthesia, the first low enough to take the high lithotomy position, built pneumoperitoneum were observed in the home below the belly button hole, so Maxwell point, right under the arch Le 2cm intersection with the right midclavicular line operation of 3 holes. Routine check for intra-abdominal organs and peritoneal metastasis, and combined with intraoperative colonoscopy to further clarify which parts of the tumor. Set in the tumor proximal intestine of a cotton belt fastened with ultrasonic knife open, peritoneum and mesenteric, inferior mesenteric vessels isolated from the roots, with the cutter away from the broken blood vessels. Of descending colon cancer, about 10cm away from the tumor at the closing device for cutting off intestine, and then in the left lower quadrant for Maxwell 3cm long incision made from the intestines break, 10cm away from the tumor in the abdominal wall at bowel resection, then abdominal out of the distal bowel, and proximal bowel anastomosis. Hey for the sigmoid colon and rectum, and 15cm at the upper edge of the tumor with a