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目的探讨腹腔镜下直肠癌根治术(Dixon术式)的安全性及可行性。方法总结分析2007年6月~2010年6月本科腹腔镜下直肠癌根治术患者56例的临床资料,统计分析手术时间、出血量、术后并发症发生率及术后随访等指标,研究腹腔镜下直肠癌根治术的安全性及可行性。结果手术时间108~206 min,平均167 min;术中出血量平均65 ml。术后肺感染2例,呼吸衰竭1例,切口感染1例,术后尿潴留2例;吻合口瘘2例,下肢深静脉血栓1例,均经保守治疗4周后治愈;其余患者均痊愈出院。结论腹腔镜下直肠癌根治术是安全的、可行的。
Objective To investigate the safety and feasibility of laparoscopic radical resection of rectal cancer (Dixon procedure). Methods The clinical data of 56 patients undergoing laparoscopic radical resection of rectal cancer from June 2007 to June 2010 were analyzed. The operation time, blood loss, incidence of postoperative complications and postoperative follow-up were analyzed statistically. The safety and feasibility of microsurgical rectal cancer radical surgery. Results The operation time ranged from 108 to 206 minutes (mean, 167 min). The average amount of bleeding during operation was 65 ml. Postoperative pulmonary infection in 2 cases, respiratory failure in 1 case, incision infection in 1 case, postoperative urinary retention in 2 cases; anastomotic fistula in 2 cases, lower extremity deep venous thrombosis in 1 case, were conservative treatment for 4 weeks after the cure; the remaining patients were cured Discharged. Conclusions Laparoscopic radical resection of rectal cancer is safe and feasible.