标题：免腹部辅助切口全腹腔镜下直肠癌根治术的临床应用

      作者：邹科见，蔡国豪，周卫平，黄 平，方壮伟，李仁峰
    (海南省人民医院胃肠外科，海南 海口 570311)

      卷次： 2014年25卷18期

      【摘要】 目的 探讨免腹部辅助切口全腹腔镜下直肠癌根治手术操作要点、可行性、安全性和近期疗效。
方法 回顾性分析42例患者行免腹部辅助切口全腹腔镜下直肠癌根治术的临床资料。结果 42例患者均顺利
完成手术，无中转其他术式，无严重术后并发症，无手术相关死亡。手术时间平均(160±35) min，术中出血量平均
(80±35.5) ml，手术标本清扫淋巴结平均(12±4.5)枚，术后排气时间(2.0±1.2) d，术后住院时间(13.52±5.06) d，术后
发生吻合口漏1例，经保守半个月治疗后治愈。随访1~24个月未见肿瘤局部复发及转移。结论 免腹部辅助切
口全腹腔镜下直肠癌根治术安全可行，同时具有腹部伤口微创化、术后并发症少和术后恢复快的特点。

      【关键词】 免腹部辅助切口；腹腔镜；直肠癌

      【中图分类号】 R735.3+7 【文献标识码】 A 【文章编号】 1003—6350（2014）18—2678—03


Clinical research of total laparoscopic resection for rectal cancer without abdominal assistant incision.
ZOU
ke-jian, CAI guo-hao, ZHOU Wei-ping, HUANG Ping, FANG Zhuang-wei, LI Ren-feng. Departments of Gastrointestinal
Surgery, People's Hospital of Hainan Province, Haikou 570311, Hainan, CHINA

【Abstract】 Objective To investigate the feasibility, safety, operating essentials and the short-term therapeu-
tic effect of total laparoscopic resection for rectal cancer without abdominal assistant incision. Methods Clinical da-
ta from 42 patients with rectal cancer from were retrospectively analyzed. Results All of the 42 patients with rectal
cancer successfully received total laparoscopic resection without abdominal assistant incision or conversion to other
surgery. None of patients had serious postoperative complications and death related to the operation. The average op-
erating time was (160±35) minutes. The blood loss was (80±35.5) ml. The number of lymph nodes harvested was
(12 ± 4.5) and the time of first bowel movement was (2.0 ± 1.2) days. The postoperative hospitalization stay was
(13.52±5.06) days. There was one case of anastomotic leakage and was cured by conservative treatment for fifteen
days. No local recurrence and metastasis in patients with colorectal cancer was found after follow-up for 24 months.
Conclusion Total laparoscopic resection for rectal cancer without abdominal assistant incision is safe and feasible,
with minimally invasive abdominal wound and few postoperative complications.

      【Key words】 Without abdominal assistant incision; Laparoscopy; Rectal cancer