腹腔镜外科杂志2013，Vol.18Issue(2)：130-132,3.
腹腔镜直肠癌切除术近远期疗效分析
The analysis of short-term and long-term treatment outcomes of laparoscopic resection for rectal cancer
何嘉琦 1顾大镛 1潘洪涛 1吴海福 1杨子昂1
作者信息
摘要
Abstract
Objective;To analyze the short-term and long-term treatment outcomes of laparoscopic resection for rectal cancer. Methods;From Sep. 2001 to Sep. 2007,139 patients with rectal cancer underwent laparoscopic resection. The patients were followed up for more than 5 years and their follow-up data were retrospectively reviewed. Results: There was one death during perioperative period. 3 patients were converted to open procedure. The average operating time was (159. 9 ± 45. 2) min and the average blood loss was (72. 6 ±54. 7) ml. Postoperative complications included anastomotic leakage in 4 cases, recto-vaginal fistula in 1 patient, perineal wound infection in 2 cases,5 cases of urinary retention,parastomal hernia in 3 patients ,1 Trocar site hernia and 3 adhesive bowel obstructions. The median time of follow-up was 75 months (range,3-132). No port-site implantation occurred,but 9 patients had local recurrence and 26 patients had distant metastasis. 36 patients were dead. Overall survival rate of 5-years was 75. 8%. Conclusions: The short-term and long-term treatment outcome of laparoscopic resection for rectal cancer is not inferior to open surgery.关键词
直肠肿瘤/腹腔镜检查/治疗结果Key words
Rectal neoplasms/ Laparoscopy/ Treatment outcome分类
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何嘉琦,顾大镛,潘洪涛,吴海福,杨子昂..腹腔镜直肠癌切除术近远期疗效分析[J].腹腔镜外科杂志,2013,18(2):130-132,3.
