腹腔镜全直肠系膜切除术治疗低位直肠癌126例分析

目的探讨腹腔镜下低位直肠癌全直肠系膜切除术（TME）的可行性。方法按TME原则，在腹腔镜下对126例低位直肠癌患者行直肠癌根治性切除术。结果手术时间95-180min，平均（117士21）rain；术中出血50-200ml，平均（90．4-27）ml；术后2-3d恢复胃肠功能；住院时间6-14d，平均（8±2）d。中转开腹4例，中转开腹手术率3．2％。保肛率95．24％（120／126）。全组术中、术后未发生输尿管即时损伤或延迟性损伤以及骶前大出血等严重手术操作相关并发症。结论腹腔镜下TME治疗低位直肠癌是安全可行的。

Laparoscopic total mesorectal excision for low rectal cancer of 126 cases

Objective To study the feasibility of laparoscopic total mesorectal excision（TME） for low rectal cancer. Methods Laparoscopic total mesorectal excision was performed in 126 patients with low rectal cancer according to TME principle. Results The operation time was 95 - 180 min, with an average time of （ 117 ± 21 ） min, the amount of bleeding 50 - 200 ml, with an average amount of （90 ± 27 ） ml . 2 - 3 days after surgery,gastrointestinal function was restored. Hospital stay was 6 - 14 days, with an average of （8 ± 2） days. Four cases converted to open surgery, the conversion rate for laparotomy was 3.2%. The proportion of sphincter-preserving operation was 95.24% （120/126）. No instant or delayed injury of ureters, large bleeding in front of sacrum and other operation-related severe complications happened intra-and after operation. Conclusion Laparoscopic surgery for low rectal cancer is safe and feasible.