腹腔镜全直肠系膜切除术治疗中低位直肠癌35例报告  

Laparoscopic total mesorectum excision in the treatment of mid-low rectal cancer:a report of 35 cases

作　　者：张卫国[1] 沈海龙[1] 那将超[1] 狄长安[1] 

机构地区：[1]首都医科大学燕京医学院附属北京平谷医院,北京平谷101200

出　　处：《腹腔镜外科杂志》2011年第6期439-441,共3页Journal of Laparoscopic Surgery

摘　　要：目的：探讨腹腔镜全直肠系膜切除术（total mesorectum excision,TME）的手术技巧及应用价值。方法：回顾分析为35例患者施行腹腔镜全直肠系膜切除术的临床资料。结果：35例患者均按TME原则完成腹腔镜直肠癌手术,平均清扫淋巴结（10.7±5.3）枚,手术时间平均150min,术中出血量10-30ml,肠道功能恢复时间2-3d,术后平均住院9d。术后发生尿潴留1例,肠梗阻1例,均经保守治疗好转。随访6-20个月,未发现转移及局部复发。结论：熟悉腹腔镜下解剖结构、正确的分离平面是保证腹腔镜全直肠系膜切除及术后患者生活质量的关键。Objective：To investigate operative skills and application value of laparoscopic total mesorectum excision（TME） in the treatment of mid-low rectal cancer.Methods：The clinical data of 35 patients with mid-low rectal cancer received laparoscopic TME was retrospectively analyzed.Results：TME was performed on 35 patients.A mean of（10.7±5.3） lymphnodes were resected.The mean operating time was 150min.The operative blood loss was 10-30ml.The time for bowel function recovery and was 2-3d.The hospitalization was 9 days.Postoperative complications occurred in 2 patients,including 1 case of urinary retention and 1 case of intestinal obstruction.No metastasis and local recurrence was found after 6-20 months follow-up.Conclusions：The familiar to the laparoscopic dissection and separation of the right plane is essential to ensure the success of TME and quality of life of patients after.

关 键 词：直肠肿瘤 全直肠系膜切除术 腹腔镜检查 病例报告 

分 类 号：R735.37[医药卫生—肿瘤]