腹腔镜下全直肠系膜切除保肛术治疗超低位直肠癌

目的探讨腹腔镜下全直肠系膜切除保肛术治疗超低位直肠癌的可行性及临床疗效。方法对24例超低位直肠癌患者的临床资料进行回顾性分析。结果手术顺利,无转为开腹,平均手术时间260min(150~300min),平均术中出血60ml(30~80ml),术后1~2d胃肠功能恢复,平均住院时间11d(7~15d),术中及术后无并发症。24例均随访6~12个月,未发现肿瘤复发及腹壁套管穿刺孔肿瘤种植。结论腹腔镜下全直肠系膜切除保肛术具有出血少、恢复快等特点,安全可行。

Total Mesorectal Excision and Sphincter Saving Procedure in Treatment of Ultra-low Rectal Carcinoma Assisted by Laparoscopy

Objective To investigate the clinical effect of total mesorectal excision (TME) and sphincter saving procedure in treatment of ultra-low rectal carcinoma assisted by laparoscopy. Methods The clinical data of 24 patients with ultra-low rectal carcinoma were analysed retrospectively. Results 24 patients operations were successfully performed. The mean operation time was 260 minutes (150 to 300 minutes) and average blood loss was 60 ml (30 to 80 ml). The enterocinesia recovered from 1 to 2 days postoperatively.There was no death or serious complications. Mean time in hospital was 11 days (7 to 15 days). All patients underwent were followed up for 6 to 12 months,24 cases weren't recurrence. Conclusion This surgical procedure has the advantages of less surgical trauma, less gastrointestinal interference and fast recovery. It can be carried out safely and feasibly further.