关键词: 腹腔镜, 晚期结直肠癌, 肝转移, 腹腔转移

Abstract: 【Abstract】 Objective To study the clinical efficacies on laparoscopic-assisted surgery in patients with advanced colorectal cancer. Methods The clinical data of 20 cases with advanced colorectal cancer in our hospital selected from January 2008 to July 2013 were retrospectively analyzed. All patients underwent laparoscopic-assisted surgery and the treatment-related evaluation indexes were recorded. Results Among that cases, 13 cases underwent simultaneous laparoscopy combined with open resection of the primary lesion and liver metastases, 2 cases underwent simultaneous laparoscopy combined with open resection of the primary lesion and abdominal lymph node metastases, 5 cases underwent laparoscopic palliative resection of the primary lesion. The average surgical time was 182±56 min, average blood loss was 340±28 ml, the first postoperative passing flatus time was 3.15±1.58 d,the hospitalization time was 10.26±1.89 d. There were four cases with postoperative complications, 2 cases of intestinal obstruction, 1 case of pulmonary infection, 1 case of electrolyte imbalance and all four patients were recovered under conservative treatment. Conclusion Laparoscopic-assisted surgery in patients with advanced colorectal cancer in technology is safe and effective. Palliative surgery will also contribute to reducing patient trauma, relieve the symptoms of intestinal obstruction and prolong life. Laparoscopic-assisted therapy would provide better options for some patients with advanced colorectal cancer.

Key words: Laparoscope, Advanced colorectal cancer, Liver metastases, Abdominal metastases