目的 分析结肠镜联合腹腔镜切除结直肠癌的优越性,为结直肠癌切除术提供有效的借鉴和参考.方法 选择2011年3月至2011年12月入住迁安人民医院的75例结直肠癌患者作为研究对象,采用结肠镜联合腹腔镜切除患者的结直肠.统计患者的手术时间、出血量、住院时间及并发症情况(包括腹痛、腹胀、异常迟发性出血、吻合口瘘、肠穿孔).结果 患者的手术时间为201 ～290 min,平均256 min;出血量为230 ～325 mL,平均292 mL;住院时间为7 ～15 d,平均11.2 d.出现腹胀腹痛的患者31例(41.3%),异常迟发性出血4例(5.3%),未见吻合口瘘和肠穿孔.结论 腹腔镜手术是一种新型的无需开腹的外科新技术,对结直肠癌患者的腹壁创伤小,术后没有刀口疼痛感,干扰少,且恢复快.%Objective To analyze the advantages of colonoscopy combined with laparoscopy for colorectal resection ,to provide effective reference for colorectal resection.Methods Seventy-five cases of colorectal diseases admitted to Qian'an Peoples Hospital in March 2011 to December 2011 were selected as research subjects, the colonoscopy and laparoscopic were used for colorectal resection.Statistical indicators of patients after treatment, including surgery time, blood loss, hospitalization time and complications( including abdominal pain, bloating, abnormal delayed bleeding, anastomotic leakage, intestinal perforation ) were recorded.Results The patients surgery time was 201-290 min,256 min on average; blood loss was 230-325 mL,292 mL on average;hospitalization time 7-15 d, 11.2 d on average.31 cases( 41.3% ) had abdominal pain;4 cases (5.3% )had abnormal delayed bleeding;no anastomotic fistula and intestinal perforation complication was observed.Conclusion Laparoscopic surgery is a novel technology without the need to open the abdomen,with little trauma to the patients abdominal wall,no incision pain after surgery,less interference,and faster recovery.
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