| 摘要: |
| ［摘要］ 目的 分析腹腔镜直肠癌根治术中转开腹的各种原因。方法 回顾分析该院于2005-01～2011-11共行腹腔镜直肠癌根治术64例的临床资料。结果 中转开腹10例，中转开腹率为15.6%。中转开腹原因：3例严重粘连致分离中造成出血，1例肿瘤浸润前列腺，1例肿瘤浸润阴道壁，1例横断肠管时输尿管亦被横断，1例肠系膜下静脉大出血，1例肠系膜下动脉大出血，2例损伤左侧髂内静脉出血较多。结论 腹腔镜直肠癌根治术应严格掌握手术适应证，术中一旦遇到难以控制的出血、损伤、解剖不清的粘连应立即行中转开腹手术。 |
| 关键词: 腹腔镜 直肠癌 中转开腹 |
| DOI：10.3969/j.issn.1674-3806.2013.02.22 |
| 分类号:R 65 |
| 基金项目: |
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| Analysis of causes of the conversion to laparotomy in laparoscopic radical surgery for rectal cancer |
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MAO Xian-shuang, CHEN Jian-ying, LIANG Bang-qiang, et al.
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Department of General Surgery, Guangji Hospital of Hezhou City, Guangxi 542800, China
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| Abstract: |
| ［Abstract］ Objective To analyse the reasons of conversion to laparotomy in laparoscopic radical surgery for rectal cancer.Methods A retrospective analysis was performed on the clinical data of 64 patients undergoing laparotomy radical surgery for rectal cancer in our hospital from January 2005 to November 2011.Results Of 64 patients,the conversion to laparotomy were found in 10 patients,the rate of conversion to laparotomy was 15.6%. The reasons for conversion to laparotomy:separation of severe adhesions leading to bleeding in 3 patients; cancer infiltration of the prostate in 1 patient; tumor infiltrating the vaginal wall in 1 patient; the ureter being inadvertently transected when transecting bowel in 1 patient; mesenteric vein bleeding in 1 patient; inferior mesenteric artery bleeding in 1 patient; damage of the left iliac vein leading to bleeding in 2 patients.Conclusion The indications of laparoscopic radical surgery for rectal cancer should be strictly controlled,in the event of uncontrolled bleeding,injury and anatomical unclear adhesion,the patients should be immediately converted to laparotomy. |
| Key words: Laparoscopec Rectal cancer Conversion to laparotomy |
