中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
8期
1150-1152
,共3页
腹腔镜%结直肠肿瘤%根治术%吻合口漏
腹腔鏡%結直腸腫瘤%根治術%吻閤口漏
복강경%결직장종류%근치술%문합구루
Laparoscopic surgery%Colorectal neoplasms%Radical cure%Anastomotic leakage
目的 探讨腹腔镜下结直肠癌根治术吻合口漏的发生原因及其预防方法.方法 采集100例腹腔镜结直肠癌根治术患者的临床资料进行回顾分析.结果 所有患者均成功施行手术,发生吻合口漏5例(5％),吻合口漏与吻合口张力过大、吻合口血运不足,肿瘤位置、大小,手术时间,术前放疗,性别年龄,肥胖、糖尿病、低蛋白血症等有关.结论 腹腔镜下结直肠癌手术近期疗效显著,随着腹腔镜技术及操作的不断提高,只要采取措施得当,吻合口漏的发生是可以预防及减少的.
目的 探討腹腔鏡下結直腸癌根治術吻閤口漏的髮生原因及其預防方法.方法 採集100例腹腔鏡結直腸癌根治術患者的臨床資料進行迴顧分析.結果 所有患者均成功施行手術,髮生吻閤口漏5例(5％),吻閤口漏與吻閤口張力過大、吻閤口血運不足,腫瘤位置、大小,手術時間,術前放療,性彆年齡,肥胖、糖尿病、低蛋白血癥等有關.結論 腹腔鏡下結直腸癌手術近期療效顯著,隨著腹腔鏡技術及操作的不斷提高,隻要採取措施得噹,吻閤口漏的髮生是可以預防及減少的.
목적 탐토복강경하결직장암근치술문합구루적발생원인급기예방방법.방법 채집100례복강경결직장암근치술환자적림상자료진행회고분석.결과 소유환자균성공시행수술,발생문합구루5례(5％),문합구루여문합구장력과대、문합구혈운불족,종류위치、대소,수술시간,술전방료,성별년령,비반、당뇨병、저단백혈증등유관.결론 복강경하결직장암수술근기료효현저,수착복강경기술급조작적불단제고,지요채취조시득당,문합구루적발생시가이예방급감소적.
Objective To explore the causes and prevention methods of postoperative anastomotic leakage after colorectal cancer laparoscopic-assisted surgery.Methods 100 patients with colorectal cancer underwent laparoscopic-assisted surgery,the data was collected and retrospectively analyzed.Results All patients were successfully done,there were 5 cases with anastomotic leakage (5％).There were significant correlations of anastomotic leakage with too strong anastomotic tension,insufficiency anastomotic blood supply,tumor location,size,operation time,preoperative radiotherapy,gender,age,obesity,diabetes,hypoalbuminemia,and so on.Conclusion The laparoscopic-assisted surgery of colorectal cancer has a curative efficacy,with the continuous improvement of laparoscopic technique and operation,as long as the proper measures were taken,the occurrence of anastomotic leakage can be prevented and reduced.
