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find Author "周晔敏" 1 results
  • Colorectal Operations under Laparoscope or HandAssisted Laparoscope (Report of 18 Cases)

    目的探讨腹腔镜和手助腹腔镜技术在结直肠手术中的应用价值。方法选择性进行腹腔镜和手助腹腔镜下结直肠手术18例,其中右半结肠切除术4例,横结肠乙状结肠吻合术1例,左半结肠切除术4例,直肠前切除术6例,腹会阴联合根治术3例。结果18例手术全部成功,平均手术时间154 min,其中腹腔镜组165 min,手助腹腔镜组115 min; 平均出血量约170 ml,平均肛门排气时间36 h。全组病例无邻近脏器损伤,无吻合口漏。恶性肿瘤13例,随访1~18个月,未见肝转移、切口种植及吻合口复发。结论腹腔镜和手助腹腔镜结直肠手术在应用技术上可行,手助腹腔镜技术架起了开腹手术和腹腔镜手术之间的桥梁,扩大了腹腔镜手术的范围和适应证; 选择适当的病例,微创结直肠手术有良好的应用前景。

    Release date:2016-08-28 04:43 Export PDF Favorites Scan
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