免腹部切口腹腔镜结直肠切除经肛门拖出术  

Transanal specimen extraction in laparoscopic colorectal resection

作　　者：闫巍[1] 阿民布和[1] 朱斌[1] 张能维[1] 廉东波[1] 樊庆[1] 

机构地区：[1]首都医科大学附属北京世纪坛医院普通外科,100038

出　　处：《中华胃肠外科杂志》2012年第5期505-507,共3页Chinese Journal of Gastrointestinal Surgery

摘　　要：目的探讨免腹部切口腹腔镜结直肠切除经肛门拖出术的可行性和治疗效果。方法回顾性分析2009年1月至2011年5月间在北京世纪坛医院接受免腹部切口腹腔镜结直肠切除经肛门拖出术的12例患者的临床资料。结果12例患者中男性8例，女性4例，年龄4l。67（平均58）岁：便秘5例，乙状结肠癌3例。直肠癌4例。12例均经腹腔镜完成手术，无中转开腹病例，手术时间（240±45）min，术中出血量（70±40）ml。术后无吻合口瘘和吻合口狭窄等并发症，仅1例便秘患者术后出现顽固性右下腹痛，经解痉对症处理后缓解。术后6个月，5例便秘患者排粪频率3～7次／d，7例乙状结肠和直肠癌患者1-2次／d。术后随访1～20个月，未见局部复发和转移病例。结论免腹部切口腹腔镜结直肠切除经肛门拖出术是一种安全可行、疗效可靠的术式。Objective To investigate the feasibility and efficacy of transanal specimen extraction in laparoscopic colorectal resection. Methods From January 2009 to December 2010, transanal specimen extraction technique was performed in 12 patients undergoing laparoscopic colorectal resection. The clinical data were retrospectively analyzed. Results There were 8 males and 4 females. The age ranged from 41 to 67 （mean, 58） years old. The mean operative time was （240±45） min, mean blood loss was （70± 40） ml. There was no anastomotic leakage or stenosis. One patient with constipation suffered from intractable right lower abdominal pain and was managed with antispasmodic agents. The frequency of bowel movements was 3-7/d in the 5 patients with constipation and 1-2/d in patients with colorectal carcinoma at six months postoperatively. No local recurrence and metastasis in patients with colorectal cancer after follow-up of 1-20 months. Conclusion Transanai specimen extraction in laparoscopic colorectal resection is feasible, safe, and reliable.

关 键 词：腹腔镜 结直肠切除术 经肛门拖出术 结直肠肿瘤 便秘 

分 类 号：R726.5[医药卫生—儿科]