• 医学文献
  • 知识库
  • 评价分析
  • 中外期刊
  • 学位
  • 会议
  • 专利
  • 成果
  • 标准
  • 法规
  • 临床诊疗知识库
  • 中医药知识库
  • 机构
  • 作者
论文 期刊
高级检索

检索历史 清除

手辅助腹腔镜下直肠癌根治术

Hand-assisted laparoscopic surgery in radical resection of rectal cancer

摘要:

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.

更多
abstracts:

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.

More
  • 浏览:110
  • 下载:7

加载中!

相似文献

  • 中文期刊
  • 外文期刊
  • 学位论文
  • 会议论文

加载中!

加载中!

加载中!

加载中!

扩展文献

特别提示:本网站仅提供医学学术资源服务,不销售任何药品和器械,有关药品和器械的销售信息,请查阅其他网站。

充值 订阅 收藏 移动端 使用
帮助