经蓝碟(LapDisc)手助腹腔镜结直肠癌根治术

目的 探讨手助腹腔镜结直肠癌根治术的临床效果。方法 应用LapDisc手助腹腔镜技术完成27例结直肠癌根治术。结果 手术全部成功，无一例中转开腹。手术时间90～260min，平均140min。术中出血50～200ml，平均110ml。术后无死亡及吻合口漏等并发症。随访6～23个月，平均8．6月，未见切口种植复发。结论 手助腹腔镜结直肠癌根治具有安全、创伤小、术后恢复快及降低标准腹腔镜手术难度等优点，值得临床推广应用。

Hand-assisted laparoscopic radical resection for colorectal cancer using the LapDisc

Objective To investigate clinical effects of hand-assisted laparoscopic radical resection for colorectal cancers. Methods A series of 27 cases of colorectal cancer received hand-assisted laparoscopic radical surgery using the LapDisc. Results All the operations were successfully accomplished without conversions to open surgery. The operation time was 90~260 min (mean, 140 min), and the intraoperative blood loss was 50~200 ml (mean, 110 ml). No deaths or anastomotic leakages were observed after surgery. Follow-up for 6~23 months (mean, 8.6 months) found no port-site metastasis. Conclusions Hand-assisted laparoscopic radical resection for colorectal cancers gives advantages of safety, minimal invasion, quick recovery, and simplicity of performance.