腹腔镜辅助超低位直肠癌Parks术37例分析  

Parks operation in treatment of ultra-low rectal carcinoma assisted by laparoscopy in 37 patients

作　　者：李炳辉[1] 王林忠[1] 赵波[1] 杨文益 仉志军 

机构地区：[1]临淄区人民医院,山东淄博255400

出　　处：《腹腔镜外科杂志》2008年第2期113-115,共3页Journal of Laparoscopic Surgery

摘　　要：目的:探讨腹腔镜下Parks术治疗超低位直肠癌的可行性及临床疗效。方法:回顾分析37例超低位直肠癌患者的临床资料。结果:37例手术均顺利完成,平均手术时间200(170～250)min,术中平均出血110(80～150)ml,术后1～3d胃肠功能恢复,平均住院12(8～15)d,下切缘距肿瘤平均为(2.90±0.50)cm。随访6～40个月,19例随访超过24个月,2例出现吻合口狭窄,3例复发,2年无瘤生存率为84.2%。结论:腹腔镜辅助超低位直肠癌Parks术能在根治的前提下提高保肛率,改善患者生活质量,可推广应用。Objective：To investigate the feasibility and clinical effect of Parks operation in treatment of ultra-low rectal carcinoma assisted by laparoscopy, Methods：The clinical data of 37 patients with ultra-low rectal carcinoma were analysed retrospectively. Resuits：Thirty-seven operations were successfully performed, The mean operation time was 200min （170 to 250min） and the average blood loss was 110mt （80 to 150ml）. The enterocinesia recovered from 1 to 3 days postoperatively, The mean hospitalization was 12 days （8 to 15 days）. The distance from the distal incisional edge of the rectum to the inferior margin of the tumor was （2.90 ±0.50） cm. All patients were followed up for 6 to 40 months, 19 patients of which were over 24 months. 2 cases developed anastomotic stenosis and the tumors in 3 cases recurred. Two-year disease free survival rate was 84.2%, Conclusions ： Parks operation assisted by laparoscopy improves sphincter saving rate in treatment of ultra-low rectal carcinoma effectively and radically and it should be widely used.

关 键 词：直肠肿瘤 PARKS术 腹腔镜术 

分 类 号：R735.37[医药卫生—肿瘤]