关键词: 腹腔镜, 微创, 直肠癌, 根治术

Abstract:

【Abstract】 Objective To investigate the therapeutic effect and feasibility of double-view laparoscopic-assisted radical resection for patients with rectal cancer. Methods Fifty-eight patients with rectal cancer received radical resection with a lower abdominal midline incision 6 cm in length using double-view laparoscope, which combined direct vision and screen vision so that the advantage of direct vision and laparoscopic operation could be complementary. Results Double-view laparoscopic-assisted operations were successfully completed in all patients..Among them,.49 cases underwent L-Dixon method and 9 cases undervwnt L-Miles' method. Anastomotic leakage was found in 2 patients and the two patiens cured by colostomy plus abdominal drainage and conservative treatment plus abdominal drainage respectively and conservative treatment. Fourty-three of 58 cases were followed up for 6-36 months (mean,18 months), Most of patients had good recovery. Liver metastasis was found in one case and underwent partial liver resection 25 months after surgery. One case was found the local recurrence and multi-metastasis 19 months after operation,but this patient gave up treatment by himself. Conclusion Double-view laparoscopic-assisted radical resection for patients with rectal cancer has definite advantages over traditional laparotomy, such as brighter operative field, more precise anatomy, techneque easier to control, less trauma and rapid recovery.

Key words: Laparoscope, Minimally invasion, Rectal cancer, Radical resection