腹腔镜下全直肠系膜切除术治疗直肠癌22例  

Total Mesorectal Excision with Laparoscopic Procedure in Treatment of 22 Cases Rectal Cancer

作　　者：张建成[1] 芦运生[1] 王旺河[1] 田鹏[1] 

机构地区：[1]河南省人民医院,郑州市450003

出　　处：《医药论坛杂志》2006年第20期28-28,30,共2页Journal of Medical Forum

摘　　要：目的 探讨腹腔镜全直肠系膜切除（TME）术治疗直肠癌的可行性。方法 按TME原则，在腹腔镜下对22例直肠癌患者实施TME术。结果 22例患者手术顺利，手术时间160～240min，平均210min；术中出血50～100ml，平均80ml；术后1～2d恢复胃肠功能并下床活动，住院时间6～14d，平均9d。术后止痛剂应用8例，术中及术后无并发症发生。结论 腹腔镜TME术治疗直肠癌，保肛率高，是一极具应用前景的微创新技术。Objective To assess the feasibility of total mesorectal excision （TME） with minimally invasive approach for rectal cancer. Methods Laparoscopic total mesorectal excision colo - anal anastomoses were performed on 22 patients with rectal cancer. Results 22 colo - anal anastomoses were successfully completed with totall laparoscop. The operation time was 210 min（ 160 -240 ） while operative bleeding was 80ml （50 - 100）. Average hospital stay was 9 days （6 - 14） and there were no intraoperative and postoperative complications in all 22 patients. Conclusion The laparoscopic surgery of total mesorectal excision and colo - anal anastomoses in the treatment of rectal cancer is a perspective minimally invasive technique, which is feasible, safe and effective.

关 键 词：全直肠系膜切除术 直肠癌 微创外科 

分 类 号：R735.37[医药卫生—肿瘤]