腹腔镜全直肠系膜切除保肛术治疗低位直肠癌的体会(附73例报告)  

The experience in the application of laparoscopic total mesorectal excision with anus reservation for low rectal cancer:with a report of 73 cases

作　　者：罗毅[1] 梁承友[1] 刘顺顺[1] 李平[1] 

机构地区：[1]新疆石河子大学医学院第四附属医院,新疆阿克苏843000

出　　处：《腹腔镜外科杂志》2011年第11期823-825,共3页Journal of Laparoscopic Surgery

摘　　要：目的:探讨腹腔镜全直肠系膜切除保肛术治疗低位直肠癌的手术方法及临床疗效。方法:回顾分析2006年4月至2010年10月为73例低位直肠癌患者施行腹腔镜辅助根治性切除术的临床资料。结果:73例手术均顺利完成,无一例中转开腹。手术时间120～240 min,平均180 min;术中出血量100～300 ml,平均150 ml;术后胃肠功能恢复时间1～2 d;住院8～14 d,平均10 d;均无严重并发症发生。结论:腹腔镜全直肠系膜切除保肛术治疗低位直肠癌具有患者创伤小、出血少、肠道功能恢复快等优点,值得推广应用。Objective：To inyestigate the method and feasibility of laparoscopy in total mesorectal excision （TME） with anus reservation for low rectal caneerMethods ： Clinical data of 73 patients who underwent laparoscopy-assisted low rectal cancer excision from April 2006 to October 2010 in our hospital were analyzed retrospectively. Results：All the operations were successfully performed for the 73 patients with a mean operative time of 180 rain （ 120-240 rain）. The mean intraoperative blood loss was 150ml （ 100-300 ml）, and the time for bowel function recovery was about 1-2 days, and the postoperative hospital stay was 10 days （8-14 days）. No other complications occurred. Conclusions：Laparoscopic total mesorectal excision （TME） has many advantages for low rectal cancer, such as minimal invasion, less blood loss, less trauma and faster recovery, and it worth promoting.

关 键 词：直肠肿瘤 腹腔镜检查 全直肠系膜切除术 保肛 

分 类 号：R735.37[医药卫生—肿瘤]