Regadas F S, Siebra J A, Rodrigues L V, Nicodemo A M, Reis Neto J A
Department of Surgery, Medical School of the Federal University of Ceará, Brazil.
Surg Laparosc Endosc. 1996 Feb;6(1):1-4.
We present 20 cases (10 men, 10 women) of laparoscopically assisted colorectal anastomose. The patients' mean age was 52.8 years. The mean length of procedure was 130 min. There were two transoperative complications, a rectal perforation with the stapler and an incomplete anastomose. Six (35.2%) patients said they had no postoperative pain. Bowel sounds occurred in a mean time of 18.2 h, flatus in 26.4 h, and bowel movement in an average of 2.5 postoperative days. Liquid diet was started after an average of 1.5 days, and the mean hospital stay was 4 days. There were three (15%) conversions because of excessive pelvic adherence, pelvic neoplastic invasion, and rectal perforation with a stapler. Postoperative complications occurred in seven (41.1%) cases: an incisional hernia, two wound infections, one wound bleeding, an acute renal failure, an undetermined peritonitis, and a small pelvic abscess. No mortality occurred in these cases.
我们呈现了20例（10名男性，10名女性）腹腔镜辅助结直肠吻合术的病例。患者的平均年龄为52.8岁。平均手术时长为130分钟。术中出现了2例并发症，1例吻合器导致的直肠穿孔和1例吻合不全。6例（35.2%）患者表示术后无疼痛。肠鸣音平均在术后18.2小时出现，排气平均在26.4小时出现，排便平均在术后2.5天出现。平均术后1.5天开始进流食，平均住院时间为4天。因盆腔粘连严重、盆腔肿瘤侵犯和吻合器导致的直肠穿孔，有3例（15%）中转开腹。术后并发症发生在7例（41.1%）患者中：1例切口疝、2例伤口感染、1例伤口出血、1例急性肾衰竭、1例不明原因的腹膜炎和1例盆腔小脓肿。这些病例中无死亡发生。
