腹腔镜手术治疗结直肠肿瘤.docVIP

腹腔镜手术治疗结直肠肿瘤 发表时间：2008-02-18 发表者：胡海 腹腔镜手术治疗结直肠肿瘤 胡海 蔡景理1 徐鲁白1 周斌1 王继生1 徐家镕1 所广军 朱江帆 同济大学附属东方医院微创外科发展中心 上海 200120 [摘 要]　目的: 探讨腹腔镜结直肠手术治疗结直肠良恶性病变的安全性与可行性。方法: 2004年7月至2005年9月作者对31例结直肠肿瘤病人进行腹腔镜手术，手术方式包括：右半结肠切除 4例，右半结肠腺瘤切除术2例，左半结肠切除2例，乙结肠腺瘤切除术2例，Dixon手术11例，Miles手术10例。结果:　31例均成功完成腹腔镜手术。手术时间平均143.7分钟。术后平均1-2天下床活动，平均2天进流质饮食，无并发症发生，术后平均住院11.7天。结论:　腹腔镜结直肠手术技术上是安全可行的，具有手术创伤小、术后疼痛轻、胃肠道干扰小、术后恢复快等优点。(上海东方医院胡海发表) [关键词]　 腹腔镜手术 结直肠 肿瘤　　 Laparoscopic Colorectal Surgery.Hu-hai Cai-Jingli Xu-rubai. Department of Minimally Invasive Surgery, the second hospital affiliated to wenzhou medical college wenzhou 325000. [Abstract] PURPOSE: To evaluate the safety and feasibility of laparoscopy in colorectal surgery and to explore the application of laparoscopy in colorectal surgery for benign and malignant diseases. Methods :31 cases of colorectal surgery were performed with laparoscopy between July 2004 and September 2005. The procedures included 4 cases of laparoscopic right colectomies, 2 cases of laparoscopic resection for right colon adenoma, 2 cases of left hemicolectomy, 2 cases of laparoscopic resection for sigmoid colon adenoma, 11 cases of laparoscopic low anterior resections and 10 cases of abdominoperineal resections. Results: The average operation time was 143.7 minutes. The average time to resume early activity was 1-2 days. The average recovery time of postoperative intestine function was 2 days. All patients recovered well, without postoperative complication .The length of postoperative hospital stay was 11.7days. Conclusions: Laparoscopic resection suergery can be performed safely and effectively with decreased postoperative pain and rapid discovery. Key word: laparoscopic surgery colorectal cancer 自Jacob[1]等首先于1990年开展了腹腔镜结直肠手术，经过十余年的发展，特别是90年代中期出现超声刀以后，腹腔镜结直肠手术已日臻成熟与完善。作者自2004年7月至2005年9月在同济大学附属东方医院和温州医学院附属二院对31例结直肠肿瘤病人进行了腹腔镜手术，现将临床治疗和随访的结果总结如下。 1一般资料：31例病人中 14例为女性,17例为男性。年龄平均52.3±13.5(31～79)岁。结直肠良性病变4例，包括右半结肠腺瘤2例，乙状结肠腺瘤2例，术前电子结肠镜检查病理证实为单发或多发绒毛状管状腺瘤伴不典型增生，大小为1.5-2.5cm。结直肠恶性病