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fu qiang jing xia jie zhi chang ai gen zhi shu liao xiao guan cha
Author(s): 
Pages: 914-915,930
Year: Issue:  8
Journal: Modern Practical Medicine

Keyword:  结直肠肿瘤腹腔镜检查;
Abstract: 目的 探讨腹腔镜结直肠癌根治术的疗效.方法 回顾性分析47例腹腔镜结直肠癌根治术的临床资料,其中行右半结肠切除术8例,左半结肠切除术6例,乙状结肠切除术11例,直肠癌行Dixon术16例,Miles术6例.结果 44例成功完成腹腔镜手术,3例中转开腹,1例因盆底静脉出血,1例因输尿管周围炎症纤维化术中无法辨识,1例因肿瘤晚期(肠系膜根部淋巴结广泛转移,无正常解剖血管).本组平均手术时间150min,术中平均出血量80ml,平均清扫淋巴结12颗.术后出现切口感染3例,肺部感染1例,吻合口漏2例,均为低位直肠癌根治术.结论 腹腔镜下结直肠癌根治术不仅技术上安全,可行,而且具有比开腹根治术更好的短期效果.
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