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首页|期刊导航|实用临床医药杂志|改良无辅助切口完全腹腔镜直肠癌全直肠系膜切除术的临床研究

改良无辅助切口完全腹腔镜直肠癌全直肠系膜切除术的临床研究

李瑞生 王立军 张富

实用临床医药杂志2012,Vol.16Issue(9):45-47,3.
实用临床医药杂志2012,Vol.16Issue(9):45-47,3.

改良无辅助切口完全腹腔镜直肠癌全直肠系膜切除术的临床研究

Clinical research on improved total laparoscopic and total mesorectal excision without auxiliary incision for rectal carcinoma

李瑞生 1王立军 1张富1

作者信息

  • 1. 河北省唐山市玉田县医院普通外一科,河北唐山,064100
  • 折叠

摘要

Abstract

Objective To study the clinical effect of improved total laparoscopic and total mesorectal excision (TME) without auxiliary incision for rectal carcinoma. Methods The clinical data of 23 patients with rectal carcinoma who received improved total laparoscopic and total mesorectal excision (TME) without auxiliary incision from May 2007 to June 2010 were analyzed retrospectively. Results All of the 23 patients had successful operations. The average operation duration was 242.5 min, and the average bleeding volume was 52.6 mL. The postoperative pathology confirmed that the cut edge had no residual cancer. The average recovery time of gastrointestinal function was 51.7 h, and the average length of stay was 5.4 d. There was no postoperative anastomotic fistula and bleeding, abdominal bleeding and infection. The follow - up ranging from 12 to 18 months revealed that there was no local recurrence. Conclusion Improved total laparoscopic and TME without auxiliary incision for rectal carcinoma has the advantages of smaller injury, less blood loss, no abdominal wall auxiliary incision, and faster recovery, is a real total laparoscopic minimally invasive surgery for rectal carcinoma, thus being worthy of clinically wider application.

关键词

直肠癌/无辅助切口/腹腔镜/微创手术

Key words

rectal carcinoma/without auxiliary incision/laparoscope/minimally invasive surgery

分类

医药卫生

引用本文复制引用

李瑞生,王立军,张富..改良无辅助切口完全腹腔镜直肠癌全直肠系膜切除术的临床研究[J].实用临床医药杂志,2012,16(9):45-47,3.

基金项目

中国高校医学期刊临床专项资金(11220011) (11220011)

实用临床医药杂志

OACSTPCD

1672-2353

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