CAJ | 학술논문

目的：探讨腹腔镜结直肠手术的临床应用价值。方法回顾性分析2009年7月～2013年1月我院48例腹腔镜结直肠手术的临床资料，并进行经验总结。结果3例中转开腹手术。术中失血量约为50～220mL，平均（128.33±54.32）mL；肠功能恢复时间为24～89h，平均（48.52±12.85）h；住院时间为8～15d，平均住院时间（11.65±1.31）d。术后腹壁切口疝2例，吻合口出血1例，吻合口狭窄1例，无切口感染、肠漏及手术死亡病例。结论腹腔镜结直肠手术安全可行，具有腹壁切口小、感染几率低、肠道功能恢复快及住院时间较短等优点。
목적：탐토복강경결직장수술적림상응용개치。방법회고성분석2009년7월～2013년1월아원48례복강경결직장수술적림상자료，병진행경험총결。결과3례중전개복수술。술중실혈량약위50～220mL，평균（128.33±54.32）mL；장공능회복시간위24～89h，평균（48.52±12.85）h；주원시간위8～15d，평균주원시간（11.65±1.31）d。술후복벽절구산2례，문합구출혈1례，문합구협착1례，무절구감염、장루급수술사망병례。결론복강경결직장수술안전가행，구유복벽절구소、감염궤솔저、장도공능회복쾌급주원시간교단등우점。
Objective To explore the clinical application value of the laparoscopic colorectal surgery. Methods The clinical data of 48 cases with laparoscopic colorectal surgery from July 2009 to January 2013 in our hospital were retrospectively analyzed,and the experiences were summaried. Results Among 48 cases, there were three cases who were converted to laparotomy.The intraoperative blood loss was about 50-220mL, and the average was (128.33±54.32) mL.The intestinal function recovery time was 24-89 hours,and the average was (48.52±12.85)h.The length of hospital stay was 8-15 days,and the average was (11.65±1.31)d.There were two cases of postoperative incisional hernia of abdominal wall,one case of anastomotic bleeding and one case of anastomotic stenosis,but no wound infection, intestinal leakage and operative death cases. Conclusion Laparoscopic colorectal surgery is safe and feasible,which has the advantages of small incision in the abdominal wall,low risk of infection, quick recovery of intestinal function and shorter length of hospital stay.