腹腔镜_____结直肠肿瘤；腹腔镜(期刊论文)

腹腔镜辅助结直肠癌切除术14例报告

http://www.100md.com 《腹腔镜外科杂志》 2006年第2期

腹腔镜,,结直肠肿瘤；腹腔镜,1资料与方法,2结果,3讨论,参考文献：

     【摘要】目的：探讨腹腔镜技术在结直肠癌切除术中的应用。方法：回顾分析腹腔镜辅助结直肠癌切除术14例的临床资料。结果：本组右半结肠、横结肠、左半结肠以及乙状结肠根治性切除各1例，Dixon术5例，Miles术3例；1例左半结肠癌患者探查见左肾有浸润性转移而中转开腹；1例横结肠癌患者探查见肿瘤腹腔广泛转移而放弃手术；全组无手术死亡。术后1例Dukes D期患者因肿瘤转移死亡，1例Dukes C期患者1年后肠道复发，其余患者未见肿瘤复发及转移。结论：腹腔镜辅助结直肠癌根治术安全可行。

    【关键词】结直肠肿瘤；腹腔镜

    Laparoscopicallyassisted resection for 14 cases with colorectal cancers

    YANG Dongxing,ZHANG Jianjun.

    Dept.of General Surgery,the 331 Hospital of Zhuzhou City,Zhuzhou 412002,China

    【Abstract】 Objective:To explore the clinical application of the laparoscopicallyassisted resection for colorectal cancers.Methods:The clinical data of 14 cases with colorectal cancer underwent laparoscopicallyassisted operation were analyzed retrospectively.Results:All patients received laparoscopic operation.Right hemicolectomy was performed in 1 case,transverse colectomy was performed in 1 case,lefthemicolectomy was performed in 1 case,sigmoidectomy was performed in 1 case.Dixon operation was performed in 5 cases and Miles operation was performed in 3 cases.There was no death due to operation.1 case with transverse colon cancer found extensive transplantation in abdominal cavity was converted to open operation.1 case with lefthemicolon cancer was convevted to laparotomy because of the invision of the left kidney.1 case with Dukes C stage perioperative recurred one year later and 1 case with Dukes D stage died during perioperative time because of transplantation.Conclusions:Laparoscopicallyassisted resection for colorectal cancers is a feasible and safe procedure. ......

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