Objective: To analyze ileus conditions after laparoscopic anterior resection for rectal cancer. Methods: The clinic data of 100 patients underwent laparoscopic anterior rectal resection from September 2005 to January 2009 was analyzed, including 64 male and 36 female patients aged from 29 to 81, mean 58.5 ± 12.1. These cases excluded the conditions of acute intestinal obstruction, intra - abdominal spread, lungs/brain/bone metastases, ASA ( American Society of Anesthesiologists ) risk of these cases was below grade Ⅲ. Distance from lower margin of tumor to anus margin ranged from 4 to 20cm with the mean value of 8.26 ± 3.3cm. Results: No patient among 100 cases had been converted to open surgery. 5 ileus cases occurred in 4 to 13 days after operation ( incidence rate was 5％ ).Three cases were cured by conservative treatment. Conclusion: As long as properly disposed, laparoscopic anterior resection for rectal cancer does not increase the risk of ileus.%目的:分析腹腔镜辅助直肠前切除术后肠梗阻发生情况.方法:统计我院2005年9月至2009年1月100例腹腔镜辅助直肠前切除术患者的临床资料,其中男64例,女36例,年龄为29-81岁,平均58.5±12.1岁.所有病例术前无急性肠梗阻、穿孔或出血等需行急诊手术,无腹腔内广泛转移,无肺、脑或骨转移.手术危险程度ASA(美国麻醉师协会评分)<Ⅲ级.肿瘤下缘距肛缘4cm-20cm,平均8.26±3.3cm.结果:100例中无中转开腹,其中术后肠梗阻5例(发生率为5%),发生于术后第4-13天.其中3例经保守治疗治愈.结论:腹腔镜手术不会增加术后肠梗阻的发生率.
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