CAJ | 학술논문

目的探讨手辅助腹腔镜技术在直肠癌根治术中的应用经验及临床效果.方法回顾性分析杭州大学医学院附属第一医院2009年8月至2011年4月实施的156例手辅助腹腔镜直肠癌根治术患者的临床资料,分析手术效果及术后并发症情况.结果 156例患者均顺利完成手术,中转开腹率0.6％ (1/156).患者平均手术时间(125±35) min；术中出血量(118±60)ml；术后肠功能恢复时间(60±8)h；术后平均住院时间(9.5±2.2)d；平均淋巴结清扫个数(14±5)个.发生术后并发症5例(3.2％).术后随访至今未见肿瘤复发及穿刺孔种植转移.结论手辅助腹腔镜直肠癌根治术在保留微创优势的同时降低了手术难度,安全可靠,快速微创,具有广阔的临床应用前景.
목적 탐토수보조복강경기술재직장암근치술중적응용경험급림상효과.방법 회고성분석항주대학의학원부속제일의원2009년8월지2011년4월실시적156례수보조복강경직장암근치술환자적림상자료,분석수술효과급술후병발증정황.결과 156례환자균순리완성수술,중전개복솔0.6％ (1/156).환자평균수술시간(125±35) min；술중출혈량(118±60)ml；술후장공능회복시간(60±8)h；술후평균주원시간(9.5±2.2)d；평균림파결청소개수(14±5)개.발생술후병발증5례(3.2％).술후수방지금미견종류복발급천자공충식전이.결론 수보조복강경직장암근치술재보류미창우세적동시강저료수술난도,안전가고,쾌속미창,구유엄활적림상응용전경.
Objective To investigate the application experience and clinical effects of hand-assisted laparoscopic radical resection for rectal cancer.Methods The clinical data of 156 patients with rectal cancer treated with hand-assisted laparoscopic surgery between August 2009 and April 2011 were analyzed retrospectively.Results The operative procedures of 156 patients were completed successfully and 1 case was converted to laparotomy (0.6％).The mean operation time was (125 ± 35) minutes; the mean intraoperative blood loss was (118 ± 60) ml; the mean time of bowel function recovery was (60 ± 8) hours;the median postoperative hospital stay was (9.5 ±2.2) days.The mean number of lymph nodes dissection was (14±5 ).Five patients (3.2％) had postoperative complications.All the patients were followed up.There had been no local recurrence or trocar site implantation metastasis.Conclusion Hand-assisted laparoscopic surgery approach for the curative resection of rectal cancer is safe and effective and has broad prospects in clinical application.