腹腔镜直肠癌根治术的近期疗效及安全性分析

目的 探讨腹腔镜直肠癌根治术的近期疗效及手术安全性.方法 对2011年6月-2013年6月我院行腹腔镜直肠癌根治术的73例患者的临床资料进行回顾性分析.结果 73例患者均成功完成手术,无中转开腹,其中Dixon术48例,Miles术25例.平均手术时间为（245.3±72.1）min,术中出血量为（162.4±82.5）ml,术后排气时间为（2.5±1.2）天,术后住院时间为（12.7±4.0）天.清扫淋巴结（10.7±4.2）枚/例.5例患者出现术后并发症.结论 腹腔镜直肠癌根治术创伤小、恢复快、安全可行且近期临床疗效满意,值得大力推广.

Analysis of short- term efficacy and safety of laparoscopic radical surgery for rectal cancer

Objective To discuss the short - term efficacy and safety of laparoscopic radical surgery for rectal canc- er. Methods The clinical data of 73 patients who received laparoscopic radical surgery for rectal cancer in our hospital between June 2011 and June 2013 were reviewed retrospectively. 48 patients received rectal low resection （Dixon） and 25 cases received perineum and colorectal cancer radical treatment （ Miles ）. Results The operation was successfully performed on all patients. The mean operation time was （ 245.3 ± 72.1 ） rain, blood loss was （ 162.4 ± 82.5 ） ml, post- operative anal exhaust time was （2.5± 1.2） d, postoperative hospital stay was （ 12.7 ±4. 0） d, and the average number of lymph nodes dissected was （ 10.7 ±4.2） pieces, 5 cases suffered from postoperative complications. Conclusion The laparoscopic radical surgery for rectal cancer is safe and feasible with its favorabale short -term outcome and the advantare of minimal invasiveness.