Metzger P, Gamal E M, Zirngibl H, Stellwag-Carion F
Waldviertelklinikum Chirurgie, A-3580 Spitalgasse 10, Horn, Ausztria.
Magy Seb. 2001 Jun;54(3):174-9.
We review our experience in laparoscopic colorectal surgery, with indications, technical aspects and results. Between 1992 and 31/12/2000, we performed 113 laparoscopic or laparoscopically assisted colorectal operations. Of 79 malignant cases, 37 operations were oncologically radical and therapeutic, 42 were palliative. During the immediate postoperative period two deaths occurred (2.8%), the causes of death were not related to surgery. Port site metastasis developed in one patient (1.4%). Postoperative complications developed in 18 patients (14.5%). Only one patient required conversion to laparotomy. We emphasize the importance of hand assisted laparoscopic surgery (HALS) in laparoscopic colorectal surgery, because it can increase the number of laparoscopic colorectal operations. Based on our results and experience, we recommend the routine use of laparoscopic technique in colorectal surgery.
我们回顾了我们在腹腔镜结直肠手术方面的经验，包括适应证、技术要点和结果。1992年至2000年12月31日期间，我们共进行了113例腹腔镜或腹腔镜辅助结直肠手术。在79例恶性病例中，37例手术为根治性治疗，42例为姑息性手术。术后早期有2例死亡（2.8%），死亡原因与手术无关。1例患者发生了切口种植转移（1.4%）。18例患者出现术后并发症（14.5%）。仅1例患者需要中转开腹。我们强调了手辅助腹腔镜手术（HALS）在腹腔镜结直肠手术中的重要性，因为它可以增加腹腔镜结直肠手术的例数。基于我们的结果和经验，我们建议在结直肠手术中常规使用腹腔镜技术。
