腹腔镜直肠癌全直肠系膜切除术90例报告  

Laparoscopic total mesorectal excision of rectal carcinoma report of 90 cases

作　　者：许邦文[1] 佟艳春[1] 霍宗红[1] 刘竞[1] 贺登峰[1] 张志明[1] 曹成[1] 

机构地区：[1]北京军区总医院二六三临床部普通外科,101149

出　　处：《中华腔镜外科杂志（电子版）》2012年第3期29-31,共3页Chinese Journal of Laparoscopic Surgery(Electronic Edition)

摘　　要：目的 评价腹腔镜全直肠系膜切除术的临床疗效.方法 回顾分析2007年4月至2012年4月90例腹腔镜全直肠系膜切除术患者的临床资料.结果 82例用腹腔镜完成手术,手术时间180 ～ 260 min,平均205 min,术中平均出血150 ml,清除淋巴结总数平均为15个.术后均无严重并发症发生,随访1～4年,无肿瘤复发,穿刺部位及造瘘口均无肿瘤种植.结论 腹腔镜全直肠系膜切除术具有较高的实用价值,在严格掌握手术适应证、不断提高手术技巧的基础上,腹腔镜直肠癌全直肠系膜切除术是可行的.Objective To evaluate the curative effect of laparoscopic total mesorectal excision ( TME ). Methods The clinical data of 90 cases with laparoscopic total mescoretal excision were analyzed retrospectively from April 2007 to April 2012. Results Eighty-two cases underwent laparoscopic total mesorectal excision. The average operative time was 205 min. The average blood loss was 150 ml. The mean number of cleared lymph nodes was 15. In the followed-up of 12 - 48 months, there were no local recurrence and distant metastasis, no implantation was found in the portside and incisions of abdominal wall in the all patients. Conclusions Laparoscopic total mesorectal excision is both feasible and safe of which should be performed by a skilled surgeon.

关 键 词：直肠癌 腹腔镜 全直肠系膜切除术 

分 类 号：R735.37[医药卫生—肿瘤]