分析腹腔镜下同时行结直肠癌切除术合并肝转移癌切除术的可行性及安全性。

选取26例江苏省人民医院结直肠外科在2013年8月至2015年5月期间完成一期切除结直肠癌原发灶合并肝转移癌切除术的病历资料，观察一期切除的可行性（术中出血、手术时间和中转开腹率）、安全性（术后并发症）和治疗效果（术后恢复情况）。

26例一期手术过程顺利，都获得成功。其中腔镜下结直肠癌原发灶及肝转移癌同时切除共有16例，腔镜下结直肠癌切除术加开放肝转移癌切除术共有10例。手术时间为（205.12±49.09）min，术中出血量为（296.84±376.53）ml，术后消化道排气时间（2.62±0.56）d，术后住院时间（13.92±6.80）d。术后发生腹腔感染2例，肠瘘1例，自发性气胸1例。余者均恢复良好。

腹腔镜结直肠癌原发灶及肝转移癌的一期切除安全可行，具有较好的疗效。

To evaluate the security and feasibility analysis of resection for synchronous colorectal carcinoma liver metastasis at the same stage.

Twenty six colorectal cancer with hepatic metastasis patients were selected between August 2013 and May 2015 at the First Affiliated Hospital of Nanjing Medical University and treated by the simultaneous resected surgery of the primary cancer and hepatic metastasis. At the same time, we investigated the total surgery procedure of feasibility, security and effect of treatment.

The surgical operation procedure of 26 patients were completely successful. There are 16 patients with simultaneous laparoscopic resection of the colorectal cancer and liver metastasis surgery. The other cases were accepted laparoscopic resection the colorectal cancer plus liver metastases resection with open surgery.The mean operation time was (205.12±49.09) min. The mean account of operation bleeding loss was (296.84±376.53) ml. The mean postoperative gastrointestinal function recovery time was (2.62±0.56) d. The mean postoperative hospital stay was (13.92±6.80) d. The postoperative abdominal infection occurred in 2 cases, intestinal fistula in 1 case, 1 case with spontaneous pneumothorax. The rest were recovered well.

First phase of the laparoscopic surgery for colorectal cancer primary tumors and liver metastatic carcinoma resection is safe and feasible, it has a good curative effect and positive prospect.