腹腔镜低位直肠癌根治保肛术式的选择与评价  

Laparoscopic sphincter-preserving surgery for low rectal cancer

作　　者：应敏刚[1] 杨春康[1] 

机构地区：[1]福建省肿瘤医院胃肠外科,福州350014

出　　处：《中华普外科手术学杂志（电子版）》2015年第3期19-22,共4页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

摘　　要：腹腔镜低位直肠癌保肛手术发展迅猛,其应用和可行性也得到了大量临床研究证实。腹腔镜下可以严格遵守肿瘤根治原则和保肛要求,保证了保肛手术的肿瘤安全性。腹腔镜的放大作用使得在肛门括约肌保留和神经保护等方面可能较开腹更有优势,能尽可能保留患者的排便控制功能以及膀胱功能和性功能。最新的临床研究结果肯定了腹腔镜在低位直肠癌保肛手术中的应用价值,显示了乐观的前景。The application and feasibility of laparoscopic procedures in treating low rectal cancer have been confirmed by accumulated clinical data. Laparoscopic surgery for low rectal cancer should strictly follow the ontological principles and sphincter-preserving requirements. Magnification of surgical field under laparoscopy might be better than open surgery in terms of anal sphincter saving and nerves protecting, and might retain defecation control ability, and hladder and sexual function. Latest clinical studies have confirmed the promising results of laparoscopic sphincter-preserving surgery in treating low rectal cancer.

关 键 词：直肠肿瘤 腹腔镜检查 消化系统外科手术 

分 类 号：R735.37[医药卫生—肿瘤]