[摘 要] 目的: 探讨腹腔镜结直肠手术治疗结直肠良恶性病变的安全性与可行性。方法: 2004年7月至2005年9月作者对31例结直肠肿瘤病人进行腹腔镜手术，手术方式包括：右半结肠切除 4例，右半结肠腺瘤切除术2例，左半结肠切除2例，乙结肠腺瘤切除术2例，Dixon手术11例，Miles手术10例。结果: 31例均成功完成腹腔镜手术。手术时间平均143.7分钟。术后平均1-2天下床活动，平均2天进流质饮食，无并发症发生，术后平均住院11.7天。结论: 腹腔镜结直肠手术技术上是安全可行的，具有手术创伤小、术后疼痛轻、胃肠道干扰小、术后恢复快等优点。上海东方医院胆石病专科胡海 [关键词] 腹腔镜手术 结直肠 肿瘤 Laparoscopic Colorectal Surgery.Hu-hai Cai-Jingli Xu-rubai. Department of Minimally Invasive Surgery, the second hospital affiliated to wenzhou medical college wenzhou 325000. [Abstract] PURPOSE: To evaluate the safety and feasibility of laparoscopy in colorectal surgery and to explore the application of laparoscopy in colorectal surgery for benign and malignant diseases. Methods :31 cases of colorectal surgery were performed with laparoscopy between July 2004 and September 2005. The procedures included 4 cases of laparoscopic right colectomies, 2 cases of laparoscopic resection for right colon adenoma, 2 cases of left hemicolectomy, 2 cases of laparoscopic resection for sigmoid colon adenoma, 11 cases of laparoscopic low anterior resections and 10 cases of abdominoperineal resections. Results: The average operation time was 143.7 minutes. The average time to resume early activity was 1-2 days. The average recovery time of postoperative intestine function was 2 days. All patients recovered well, without postoperative complication .The length of postoperative hospital stay was 11.7days. Conclusions: Laparoscopic resection suergery can be performed safely and effectively with decreased postoperative pain and rapid discovery. Key word: laparoscopic surgery colorectal cancer
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