Laparoscopic Surgical Techniques in Colon Carcinoma_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

王琛 , 李徐生 , 徐小东 , 吕西

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Keywords：

腹腔镜; 结肠癌; 病理分期

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目的　探讨腹腔镜结肠癌根治术的临床效果。
方法　应用腹腔镜外科技术对25例结肠癌患者实施腹腔镜结肠癌根治术。
结果　本组25例手术时间110～310 min，平均195 min；术中出血量约100～350 ml，平均约180 ml；术后胃肠功能恢复时间1～4 d，平均 1.7 d。所有标本残端无肿瘤细胞残留、浸润。所有病例术后未出现出血、吻合口漏和狭窄并发症，仅有2例出现伤口感染。术后住院6～10 d，平均7.5 d；术后19例随访2～38个月，平均13个月，其中2例于手术后第12个月和14个月因肿瘤广泛转移、衰竭而死亡；余17例随访期间均未发现有转移复发及切口种植。
结论　腹腔镜结肠癌根治术具有微创、安全、术后恢复快、肿瘤根治彻底等优点，值得临床推广应用。

Citation： 王琛,李徐生,徐小东,吕西. Laparoscopic Surgical Techniques in Colon Carcinoma. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2007, 14(6): 644-645. doi: Copy

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2.	HALS Study Group. Hand-assisted laparoscopic surgery vs. st-andard laparoscopic surgery for colorectal disease: a prospective randomized trial [Ｊ]. Surg Endosc, 2000; 14(10)∶896.
3.	Meijer DW, Bannenberg JJ, Jakimowicz JJ. Hand-assisted laparoscopic surgery: an overview [Ｊ]. Surg Endosc, 2000; 14(10)∶891.
4.	Poulin EC, Mamazza J, Schlachta CM, et al. Laparoscopic resection does not adversely affect early survival curves in patients undergoing surgery for colorectal adenocarcinoma [Ｊ]. Ann Surg, 1999; 229(4)∶487.
5.	Franklin ME, Kazantsev GB, Abrego D, et al. Laparoscopic surgery for stage Ⅲ colon cancer: long-term follow-up [Ｊ]. Surg Endosc, 2000; 14(7)∶612.
6.	Champault GG, Barrat C, Raselli R, et al. Laparoscopic versus open surgery for colorectal carcinoma: a prospective clinical trial involving 157 cases with a mean follow-up of 5 years [Ｊ]. Surg Laparosc Endosc Percutan Tech, 2002; 12(2)∶88.
7.	Lezoche E, Feliciotti F, Paganini AM, et al. Results of laparoscopic versus open resections for non-early rectal cancer in patients with a minimum follow-up of four years [Ｊ]. Hepatogastroenterology, 2002; 49(47)∶1185.
8.	田文，李荣，陈凛. 结直肠癌腹腔镜切除术对机体应激反应影响的临床研究 [Ｊ]. 中国普外基础与临床杂志, 2004； 11（3）∶204.
9.	Ortega AE, Beart RW Jr, Steele GD Jr, et al. Laparoscopic bowel surgery registry. Preliminary results [Ｊ]. Dis Colon Rectum, 1995; 38(7)∶681.
10.	Hartley JE, Mehigan BJ, MacDonald AW, et al. Patterns of recurrence and survival after laparoscopic and conventional resections for colorectal carcinoma [Ｊ]. Ann Surg, 2000; 232(2)∶181.
11.	Lacy AM, Garcia-Valdecasas JC, Delgado S, et al. Laparoscopy-assisted colectomy versus open colectomy for treatment of non-metastatic colon cancer: a randomised trial [Ｊ]. Lancet, 2002; 359(9325)∶2224.
12.	申占龙，王秋生，刘隆，等. 腹腔镜辅助或手助结直肠癌根治术 [Ｊ]. 中国微创外科杂志， 2006; 6（7）∶513.

1. 　Kockerling F, Scheidbach H, Schneider C, et al. Laparoscopic abdominoperineal resection: early postoperative results of a prospective study involving 116 patients. The Laparoscopic Colorectal Surgery Study Group [Ｊ]. Dis Colon Rectum, 2000; 43(11)∶1503.
2. 　HALS Study Group. Hand-assisted laparoscopic surgery vs. st-andard laparoscopic surgery for colorectal disease: a prospective randomized trial [Ｊ]. Surg Endosc, 2000; 14(10)∶896.
3. 　Meijer DW, Bannenberg JJ, Jakimowicz JJ. Hand-assisted laparoscopic surgery: an overview [Ｊ]. Surg Endosc, 2000; 14(10)∶891.
4. 　Poulin EC, Mamazza J, Schlachta CM, et al. Laparoscopic resection does not adversely affect early survival curves in patients undergoing surgery for colorectal adenocarcinoma [Ｊ]. Ann Surg, 1999; 229(4)∶487.
5. 　Franklin ME, Kazantsev GB, Abrego D, et al. Laparoscopic surgery for stage Ⅲ colon cancer: long-term follow-up [Ｊ]. Surg Endosc, 2000; 14(7)∶612.
6. 　Champault GG, Barrat C, Raselli R, et al. Laparoscopic versus open surgery for colorectal carcinoma: a prospective clinical trial involving 157 cases with a mean follow-up of 5 years [Ｊ]. Surg Laparosc Endosc Percutan Tech, 2002; 12(2)∶88.
7. 　Lezoche E, Feliciotti F, Paganini AM, et al. Results of laparoscopic versus open resections for non-early rectal cancer in patients with a minimum follow-up of four years [Ｊ]. Hepatogastroenterology, 2002; 49(47)∶1185.
8. 　田文，李荣，陈凛. 结直肠癌腹腔镜切除术对机体应激反应影响的临床研究 [Ｊ]. 中国普外基础与临床杂志, 2004； 11（3）∶204.
9. 　Ortega AE, Beart RW Jr, Steele GD Jr, et al. Laparoscopic bowel surgery registry. Preliminary results [Ｊ]. Dis Colon Rectum, 1995; 38(7)∶681.
10. 　Hartley JE, Mehigan BJ, MacDonald AW, et al. Patterns of recurrence and survival after laparoscopic and conventional resections for colorectal carcinoma [Ｊ]. Ann Surg, 2000; 232(2)∶181.
11. 　Lacy AM, Garcia-Valdecasas JC, Delgado S, et al. Laparoscopy-assisted colectomy versus open colectomy for treatment of non-metastatic colon cancer: a randomised trial [Ｊ]. Lancet, 2002; 359(9325)∶2224.
12. 　申占龙，王秋生，刘隆，等. 腹腔镜辅助或手助结直肠癌根治术 [Ｊ]. 中国微创外科杂志， 2006; 6（7）∶513.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Laparoscopic Surgical Techniques in Colon Carcinoma

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