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目的探讨腹腔镜下直肠癌根治手术的临床应用方法与操作要点。方法分析该院3年来60例腹腔镜下直肠癌根治手术过程,总结临床治疗效果。结果53例病人手术过程顺利,术中出血30￣100mL,无手术副损伤和并发症。7例病人因不同原因转为开腹手术。结论腹腔镜下直肠癌根治是很有特点的手术,沿正确的解剖间隙分离是保证手术顺畅、减少出血和副损伤的关键。
Objective To investigate the clinical application and operation of laparoscopic radical resection of rectal cancer. Methods Analysis of 60 cases of laparoscopic rectal cancer radical surgery in the hospital over the past three years, the clinical treatment effect was summarized. Results The operation procedure of 53 patients was successful. The intraoperative bleeding was 30 ~ 100mL. There were no operative side injuries and complications. Seven patients switched to open surgery for different reasons. Conclusions Laparoscopic radical resection of rectal cancer is a very special operation. Separation along the correct anatomical space is the key to ensure smooth operation and reduce bleeding and secondary injury.