| 摘要: |
| ［摘要］ 目的 分析腹腔镜结直肠癌根治术中转开腹手术的原因。方法 回顾性分析2006-02～2010-02采用腹腔镜行结直肠癌根治手术的108例患者的资料，分析中转开腹手术15例的原因。结果 因腹腔内出血中转5例，肿瘤较低位1例，肿瘤较大2例，腹内脏器损伤2例，腹腔严重粘连3例，肥胖1例，吻合口渗漏1例。结论 腹腔镜行结直肠癌根治术具有一定的中转开腹手术率，腹腔脏器损伤和腔内出血是中转开腹的主要原因。 |
| 关键词: 腹腔镜 结直肠癌根治术 开腹手术 |
| DOI：10.3969/j.issn.1674-3806.2011.01.22 |
| 分类号:R 735.3 |
| 基金项目: |
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| Analysis of the causes of the conversion to laparotomy during laparoscopic colorectal cancer radical surgery |
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QIU Hui-mo,LAO Jing-mao,HE Wen-hai
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Department of General Surgery,the People′s Hospital of Lingshan County,Guangxi 535400,China
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| Abstract: |
| ［Abstract］ Objective To analyze the causes of the conversion to laparotomy during laparoscopic colorectal cancer radical surgery.Methods The clinical data of 108 laparoscopic colorectal cancer radical surgery from February 2006 to February 2010 were retrospectively analyzed, 15 of which underwent an immediate conversion to laparotomy. Causes of conversion were analyzed. Results The clinical data revealed the causes of conversion included intra-abdominal hemorrhage (5 cases), low position tumor (1 case), larger tumor(2 cases), Endo-abdominal internal organs damage (2 cases), abdominal cavity serious adhesion (3 cases), overweight (1 case), and anastomtic leakage(1 case). Conclusion Laparoscopic colorectal cancer radical surgery has a certain rate of coversion to laparotomy. Endo-abdominal internal organs damage and intra-abdominal hemorrhage are the major causes of the conversion to laparotomy during laparoscopic colorectal cancer radical surgery. |
| Key words: Laparoscopy Colorectal cancer radical surgery Laparotomy |
