腹腔镜TME技术在低位、超低位直肠癌保肛手术中的应用  

APPLICATION OF LAPAROSCOPIC TME TECHNIQUE IN LOW AND ULTRA LOW RECTAL CANCER OPERATION

作　　者：张涛 

机构地区：[1]河南省周口市第二人民医院,周口466000

出　　处：《现代预防医学》2011年第21期4555-4556,4558,共3页Modern Preventive Medicine

摘　　要：[目的]探讨腹腔镜TME技术在低位、超低位直肠癌保肛手术中的应用效果。[方法]选取2009年6月-2011年2月在某院确诊为直肠癌患者100例,全部病例随机分为两组：腹腔镜组与开腹组各50例。比较两组的手术质量评价指标：手术时间、出血量、肛门恢复排气时间、淋巴结数等;及近期疗效评价指标：切口感染、吻合口瘘、肠粘连、术后尿潴留、住院时间等。[结果]与开腹组比较,腹腔镜组的手术时间短（P﹤0.05）,出血量少（P﹤0.05）,肛门恢复排气时间快（P﹤0.05）,淋巴结数目达到开腹水平（P﹥0.05）。腹腔镜发生切口感染、吻合口瘘、肠粘连、术后尿潴留的发生率明显降低（P﹤0.05）。且腹腔镜组的住院时间短于开腹组（P﹤0.05）。[结论]腹腔镜TME技术应用于低位、超低位直肠癌保肛手术中疗效确切,具有手术时间短、出血量少、肛门恢复排气时间快、术后并发症发生率低等优点,值得临床推广。[Objective]To study the application of laparoscopic TME technique in low,ultra low rectal cancer operation.[Methods]During 2009 June-2011 February,100 cases with rectal cancer were selected in our hospital,and all cases were divided into two groups：the laparoscopic group and laparotomy group with 50 cases in each group.Comparison of the two groups include operation time,bleeding volume,exhaust time,number of lymph node,incision infection,anastomotic fistula,intestinal adhesion,postoperative urinary retention,duration of hospital stay.[Results]Compared with laparotomy,laparoscopy group had short operation time（P﹤0.05）,less bleeding（P﹤0.05）,anal less exhaust time（P﹤0.05）,equa lymph node number（P﹥0.05）.Incisional infection,anastomotic fistula,intestinal adhesion after operation,the incidence of urinary retention were significantly reduced（P﹤0.05）.Laparoscopic group had short hospital stay than the laparotomy group（P﹤0.05）.[Conclusion]Laparoscopic TME technology applied in low,super anus-preserving operation of low rectal cancer had curative effect,short operation time,less bleeding,anal less exhaust time,so it is worthy of clinical application.

关 键 词：腹腔镜 TME技术 低位、超低位直肠癌保肛手术 

分 类 号：R735.37[医药卫生—肿瘤]