李丹

【摘要】 目的：分析基层医院开展腹腔镜辅助结直肠癌手术的效果。方法：选取2016年1月-2017年5月在笔者所在医院进行结直肠癌手术的60例患者为研究对象，对60例患者的临床资料进行研究分析。结果：60例患者均实施手术成功。患者手术时间89～240 min，平均（149.8±3.6）min；患者手术出血量81～300 ml，平均（168.9±4.0）ml；清扫淋巴结11～20枚，平均（15.5±1.4）枚；术后胃肠功能恢复时间1～6 d，平均（2.2±1.2）d；患者肛门排气时间1～5 d，平均（1.8±0.7）d；患者进食流质时间3～6 d，平均（4.9±1.4）d；患者住院时间7～11 d，平均（8.9±1.6）d。术后出现切口感染2例，无其他并发症出现。结论：在基层医院实施腹腔镜辅助结肠癌手术治疗，手术的管理较为简单，但是在实施过程中需要严格规范好手术操作的流程，保护好患者的血管及神经，严格进行无菌操作，提高手术的熟练程度，术后积极观察，减少不良反应的出现。

【关键词】 基层医院； 腹腔镜； 结直肠癌

doi：10.14033/j.cnki.cfmr.2018.4.053 文献标识码 B 文章编号 1674-6805（2018）04-0107-02

The Operation Experience of Laparoscopic Assisted Colorectal Cancer in Primary Hospitals/LI Dan.//Chinese and Foreign Medical Research，2018，16（4）：107-108

【Abstract】 Objective：To analyze the effect of laparoscopic assisted colorectal cancer surgery in primary hospitals.Method：A total of 60 patients with colorectal cancer surgery in the author，s hospital from January 2016 to May 2017 were selected as the study subjects，and the clinical data of 60 patients were analyzed.Result：The operation was successful in 60 patients. The patients operation time was between 89-240 min， with average of （149.8±3.6）min.The blood volume of the patients was between 81-300 ml， with average of （168.9±4.0）ml.The clearing of lymph nodes was 11-20，with average of （15.5±1.4）.The postoperative gastrointestinal function recovery time was 1-6 d，with average of （2.2±1.2） d. The anal exhaust time was 1-5 d， with average of （1.8±0.7）d.The fluid intake time was 3-6 d，with average of （4.9±1.4）d .The hospitalized time was 7-11 days，with average of （8.9±1.6）d.There were 2 cases of incisional infection and no other complications occurred.Conclusion：The laparoscopic assisted colon cancer surgery is performed in basic-level hospitals，and the postoperative recovery rate is relatively fast compared with conventional surgery.And in the management of the operation is simple，but need to strictly regulate the operation in the process of implementation of operation process，protect the patients ' blood vessels and nerves，strict aseptic operation，improve the proficiency of the operation，the postoperative active observation，reduce the occurrence of adverse reactions.

【Key words】 Primary hospital； Laparoscope； Colorectal cancer

First-authors address： Dongfeng Huaguo Hospital，Shiyan 442049，China

近年來，我国结直肠癌的发病率呈现逐渐上升的趋势，对于结直肠癌的治疗，通常会采取切除癌变组织的外科手术方式进行治疗，结直肠癌病症极易出现肝脏转移的现象，因而需要进行及时有效的治疗，以达到较好的临床治疗效果[1]。外科手术根据是否开腹分为开腹手术及腹腔镜手术，腹腔镜手术以微创性好，切口小、术后恢复较快的特点在临床上得以应用，且取得良好的治疗效果，得到患者的广泛认可。本次就2016年1月-2017年5月在笔者所在医院进行结直肠癌手术的60例患者为研究对象，分析基层医院开展腹腔镜辅助结直肠癌手术治疗的临床效果，现分析如下。……