探讨完全腹腔镜下结直肠癌根治术的临床疗效和可行性。

回顾分析2012年10月至2015年4月我院行完全腹腔镜下结直肠癌根治术治疗的196例患者资料，评价其可行性及疗效。

196例手术全部获得成功，无中转开腹病例，术中出血量50~200 ml，平均80 ml。平均手术时间2小时，平均术后住院时间10天，术后平均开始进食时间48小时，术后并发症共3例，1例吻合口瘘，2例切口感染，无围手术期死亡病例。

完全腹腔镜下结、直肠癌根治术，因其创伤小，并发症少，术后恢复很快，而且操作过程解剖清晰，手术安全可行，因此临床效果非常满意。要求术者基本功扎实、经验丰富。

To study the clinical efficacy and feasibility of laparoscopic operation for colorectal carcinoma.

The clinical data of 196 cases from October 2012 to April 2015 in Nanyang Medical College First Affiliated Hospital which underwent laparoscopic operation for colorectal carcinoma were retrospectively analyzed.

All the 196 cases were treated laparoscopic operation successfully, no cases were converted to laparotomy, the intra-operation blood loss 50~200 ml, the average was 80 ml. The average operation time was 2 hours. the average post-operation hospital stay was 10 days, the average time for post-operation eating was 48 hours. Anastomotic leakage occurred in 1 case, incision infection 2 cases, no peri-operative deaths.

Laparoscopic operation for colorectal carcinoma has the advantages of mini-invasion, low incidence of post-operative complications, quick recovery, and clear operation anatomy, safe and feasible, so it can reach to satisfactory clinical results.