Prevention and management of wound complications of laparoscopic-assisted radical resection for lower rectal cancer:with an clinical analysis of 87 cases

CHENG Yong; et al

您当前的位置：

首页 >

文章列表页 >

Prevention and management of wound complications of laparoscopic-assisted radical resection for lower rectal cancer:with an clinical analysis of 87 cases

更新时间：2024-01-17

- Prevention and management of wound complications of laparoscopic-assisted radical resection for lower rectal cancer:with an clinical analysis of 87 cases
- Journal of Chongqing Medical University Issue 7, Pages: 882-884(2008)
- 作者机构：
  
  重庆医科大学附属第一医院胃肠外科
- 作者简介：
- 基金信息：
- DOI：
  CLC： R735.37
- Published：2008，
扫描看全文
[1]程勇,王子卫,张伟,傅仲学,熊兵红.87例腹腔镜辅助低位直肠癌根治术中损伤性并发症的处理[J].重庆医科大学学报,2008(07):882-884.

CHENG Yong, et al. Prevention and management of wound complications of laparoscopic-assisted radical resection for lower rectal cancer:with an clinical analysis of 87 cases. [J]. Journal of Chongqing Medical University (7):882-884(2008)
[1]程勇,王子卫,张伟,傅仲学,熊兵红.87例腹腔镜辅助低位直肠癌根治术中损伤性并发症的处理[J].重庆医科大学学报,2008(07):882-884. DOI：

CHENG Yong, et al. Prevention and management of wound complications of laparoscopic-assisted radical resection for lower rectal cancer:with an clinical analysis of 87 cases. [J]. Journal of Chongqing Medical University (7):882-884(2008) DOI：

摘要

目的:探讨腹腔镜辅助低位直结肠癌根治术中损伤并发症的处理。方法:回顾分析87例腹腔镜辅助下低位直肠癌切除术的临床资料。其中

全直肠系膜切除术（Total mesorectal excisions

TME）66例

经腹会阴联合直肠切除术（Miles术）21例。结果:损伤并发症发生依次为:小肠损伤4.60%

骶前静脉丛损伤3.45%

阴道损伤3.45%

前列腺损伤2.30%

精囊、输精管损伤2.30%

输尿管损伤1.15%。除1例中转开腹手术外

其它14例均在腹腔镜下进行修补等处理

术后恢复好;平均住院11d;出院后随访14个月

无远期并发症发生。结论:严格掌握手术适应症

具备丰富的开腹手术经验与娴熟的器械操作专业技能

熟悉全直肠系膜切除术解剖及操作要领

发现问题及时处理中转开腹均是降低腹腔镜手术并发症的关键。

Abstract

Objective:To explore the prevention and management of wound complications of laparoscopic-assisted radical rectectomy in treatment of the lower rectal cancer. Methods:The clinical data of 87 patients with rectal cancer performed laparoscopic radical rectectomy were analyzed retrospectively.Among them

66 cases were performed by total mesenterectomy resection(TME)

21 cases by abdominal perineal resection(APR). Results:The rates of wound complications were as follows: the incidence of intestinal lesion was 4.60%;presacral venous plexus lesion 3.45%;vagina lesion 3.45%;prostate lesion 2.30%;seminal vesicle and deferent duct lesion 2.30%

and ureter lesion 1.15%. Except for one case with changing operative operation

all wound of organs were treated in Laparoscopic techniques.The mean hospitalization was 11d(9~14d).There was no postoperative complication during the follow-up in 14 months. Conclusions:Laparoscopic radical rectectomy is applicable to rectal cancer at proper indication. In order to decrease the wound complications

advanced laparoscopic skills and affluent experiences with operative recectomy

and being familiar with principles and anatomy of TME

and also changing operative methods in time are required.

关键词

腹腔镜直肠癌损伤并发症

Keywords

laparoscopyrectal cancerWoundcomplication

references

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Application of gastric tube-guided transanal decompression tube placement in patients with rectal cancer with obstruction

Impact of laparoscopic nephron-sparing nephrectomy on renal function and prognosis in patients with renal cell carcinoma

Factors affecting the outcome of partial nephrectomy in patients with stage T₁ renal cancer

Modified laparoscopic partial nephrectomy in treatment of giant cystic renal masses

Application of the stoma incision-assisted technique in laparoscopic radical cystectomy and ileal conduit

Related Author

Zou Wenbing

Dong Yangyang

Qian Huiyang

Shi Liangpan

Lan Jintao

Tong Hang

Yin Hubin

Li Tinghao

Related Institution

Second Ward, Department of Gastrointestinal Surgery， Chengdong Campus of Quanzhou First Hospital Affiliated to Fujian Medical University

Department of Gastrointestinal Surgery，East Street Campus of Quanzhou First Hospital Affiliated to Fujian Medical University，Department of Gastrointestinal Surgery，Chengdong Campus of Quanzhou First Hospital Affiliated to Fujian Medical University, Department of Gastrointestinal Surgery， Chengdong Campus of Quanzhou First Hospital Affiliated to Fujian Medical University

Department of Urology，The First Affiliated Hospital of Chongqing Medical University

Department of Urinary Surgery，The First Affiliated Hospital of Chongqing Medical University

Department of Urology，Sichuan Academy of Medical Sciences & Sichuan Provincial People’s Hospital

⁰