CAJ | 학술논문

目的总结弧形切割吻合器(Contour TM)在腹腔镜直肠癌前切除手术中的临床应用价值.方法 2004年11月至2006年6月,对60例患者应用弧形切割吻合器行改良腹腔镜直肠癌前切除术,其中前切除术10例,低位前切除术39例,超低位前切除术11例.结果 60例患者无1例中转开腹,无吻合口瘘和吻合口狭窄.手术时间150-260(平均210)min,术中出血量lO～100(平均80)ml,清扫淋巴结数8～39(平均14.5)枚,无手术死亡病例.术后住院8-11(平均9.2)d,术中、术后无严重并发症发生.结论弧形切割吻合器在腹腔镜直肠癌前切除术可以达到与常规腹腔镜和开腹直肠癌前切除手术一样的疗效,具有良好的应用价值.
목적 총결호형절할문합기(Contour TM)재복강경직장암전절제수술중적림상응용개치.방법 2004년11월지2006년6월,대60례환자응용호형절할문합기행개량복강경직장암전절제술,기중전절제술10례,저위전절제술39례,초저위전절제술11례.결과 60례환자무1례중전개복,무문합구루화문합구협착.수술시간150-260(평균210)min,술중출혈량lO～100(평균80)ml,청소림파결수8～39(평균14.5)매,무수술사망병례.술후주원8-11(평균9.2)d,술중、술후무엄중병발증발생.결론 호형절할문합기재복강경직장암전절제술가이체도여상규복강경화개복직장암전절제수술일양적료효,구유량호적응용개치.
Objective To evaluate the curved cutter stapler ContourTM in the laparoscopic anterior resection of rectal carcinoma. Methods Retrospective study was performed on 60 rectal carcinoma patients，using the methods of assisted midiline approach combined with purse-string forceps and curved cutter stapler(Contour TM)，developed enhanced laparoscopic anterior resection of rectal carcinoma.The methods included 14 cases of anterior resection， 39 cases of low anterior resection and 7 cases of ultra-low anterior resection. Results The time of operation was 150-260minutes(average 210 minutes).The volume of blood loss during operation was 10-100 ml(average 60ml).The number of lymph node dissection during the operation was 8～39(average 14.5).The hospital stay after operatidn was 8-10 days(average 8.5 days).All patients had not any serious intraoperative and postoperative complications.Conclusion Enhanced laparoscopic anterior resection of rectal carcinoma can achieve the same effect of regular laparscopic operation and transabdominal operation and can distinctly decrease the operative charge.