腹腔镜结直肠癌手术中出血的原因及处理

Ming Xu, Weiqiang Wu, Zengqiang Yang, Feng Gao
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摘要

本文就腹腔镜结直肠手术中出血的原因及解决措施进行了探讨。选取2015年1 - 12月我院腹腔镜结直肠癌手术386例。术中出血17例,占总出血量的4.4%。2例转为开腹手术,15例经腹腔镜手术。在手术过程中,手术操作不当、缺乏良好的腹腔镜解剖结构认知水平、先天性解剖变异等都可能造成术中意外出血。应采取相应措施防止意外出血。
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Causes and management of bleeding during laparoscopic colorectal cancer surgery
In this paper, the causes of bleeding during laparoscopic colorectal surgery and the measures to solve it are discussed. 386 cases of laparoscopic colorectal cancer surgery in our hospital from January to December 2015 were selected. There were 17 cases of bleeding during surgery, which accounted for 4.4% of the total amount. 2 cases were converted to laparotomy, and 15 cases were surgery via laparoscopy. In the surgical process, improper surgery, lack of good laparoscopic anatomical structure of the cognitive level, and congenital anatomic variation may have caused the accidental bleeding during surgery. Corresponding measures should be taken to stop accidental bleeding.  
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