探讨腹部弧形切口行乙状结肠、直肠肿瘤手术治疗中的应用价值。

回顾性分析齐齐哈尔市第一医院肿瘤外科2014年7月至2016年6月间45例行腹部弧形切口乙状结肠、直肠肿瘤治疗患者的临床资料。

45例患者均行腹部弧形切口并顺利完成手术，无副损伤出现，中位术后镇痛时间1.8天，中位排气时间3.2天，中位淋巴结清扫数14枚，中位切口长度11 cm，手术时间、出血量及并发症、住院时间与以往的传统手术相比并无明显增加。

腹部弧形切口能够有效完成乙状结肠、直肠肿瘤手术，具有手术切口隐蔽、美观、术后疼痛感轻的优点、符合快速康复外科及美容外科的理念，并且手术操作较简单便于基层医院开展，而手术风险及并发症并未增加。因此腹部弧形切口值得在临床中推广应用。

To explore the value of abdomen arc incision in sigmoid colon and rectum cancer surgery.

The clinical data of 45 routine abdominal arc incision sigmoid colon and rectum cancer patients at the First Affiliated Hospital of Qiqihar Medical University from July 2014 to June 2016 were retrospectively analyzed.

45 patients were underwent successfully surgery with abdominal arc incision without side effect. The median postoperative analgesia time was 1.8 days, the median exhaust time was 3.2 days, the median lymph node dissection number was 14, the median incision length was 11 cm. Compared with the previous traditional surgery, the operation time, blood loss, complications and length of hospital stay were not apparent increased.

We can complete the sigmoid colon and rectal cancer surgery with abdominal arc incision successfully, with artistic hidden incision and less postoperative pain, consistence with the conception of rapid rehabilitation surgery and aesthetic surgery. The operation is relatively simple to facilitate basic hospitals, and does not increase the risks and complications. So the abdomen arc incision is worth popularizing in clinical application.