中国现代手术学杂志2017，Vol.21Issue(5)：333-336,4.DOI:10.16260/j.cnki.1009-2188.2017.05.003
腹腔镜下直肠远断端再裸化预防吻合口出血
Prevention of Anastomotic Haemorrhage by Re-dissecting the Rectal Stump in Laparoscopic Procedure:A Retrospective Study
周松 1聂凯 1陈达丰 1张文华 1薛小军 1陈锦荣 1陈宇凡1
作者信息
- 1. 中国人民解放军第一七五医院(厦门大学附属东南医院)普通外科,福建漳州363000
- 折叠
摘要
Abstract
Objective To investigate the prevention of anastomotic haemorrhage by re-dissecting the rectal stump in laparoscopic procedure. Methods A total of 77 patients with sigmoid colon cancer/rec-tal cancer performed laparoscopic surgery with end-to-end anastomosis via anus were collected from April 2014 to February 2016. The clinical data including operation duration,re-dissection time and anastomotic haemorrhage were etrospectively analyzed. Results The laparoscopic surgery was successfully performed in all cases without conversion to open surgery. The operation duration was 115 to 205 minutes with an aver-age of 153. 6 minutes,the re-dissection time was 2 to 5 minutes with an average of 2. 8 minutes,the intra-op-erative blood loss volume was 5 to 100 ml with an average of 33. 1 ml,and the gastrointestinal recovery time was 20 to 72 hours with an average of 45. 2 hours. None was complicated with anastomotic bleeding. Con-clusion The technique of laparoscopic re-dissection of rectal stump is simple,handling and effective to pre-vent postoperative anastomotic bleeding.关键词
腹腔镜检查:吻合口出血/结直肠肿瘤/再裸化Key words
laparoscopy/anastomotic haemorrhage/colorectalcancer/re-dissection分类
医药卫生引用本文复制引用
周松,聂凯,陈达丰,张文华,薛小军,陈锦荣,陈宇凡..腹腔镜下直肠远断端再裸化预防吻合口出血[J].中国现代手术学杂志,2017,21(5):333-336,4.
