腹腔镜柱状切除术治疗低位直肠癌临床分析  

Clinical analysis of laparoscopic cylindrical abdominoperineal resection to treat low rectal cancer

作　　者：牛露伟 刘浩[2] 王凯[2] 付海啸[2] 李朝阳[2] 符炜[2] 

机构地区：[1]徐州医科大学研究生学院2013级,江苏徐州221004 [2]徐州医学院附属医院胃肠外科,江苏徐州221002

出　　处：《徐州医学院学报》2016年第5期339-342,共4页Acta Academiae Medicinae Xuzhou

摘　　要：目的探讨腹腔镜柱状切除术的手术效果和安全性。方法腹腔镜柱状切除术（腹腔镜组）34例，以及同期完成的开腹柱状切除术（开腹组）24例，对患者的一般资料、手术指标进行统计，比较2组手术安全性方面的情况。结果2组患者一般资料差异无统计学意义；腹腔镜组术中出血量、术后尿潴留发生率低于开腹组（P〈0．05），但术后总并发症的发生率、侧切缘阳性率和术中穿孔率与开腹组无明显差异。结论腹腔镜柱状切除术可有效减少患者术中出血，降低患者术后尿潴留发生率，且不降低术后肿瘤学效果。腹腔镜柱状切除术在低位进展期直肠癌的治疗中是安全可靠的。Objective To explore the efficacy and safety of laparoscopic cylindrical abdominoperineal resection for lower rectal cancer. Methods Clinical data were collected from 34 patients undergoing laparoscopic cylindrical abdomi- noperineal resection （ L - CAPR） and 24 patients undergoing cylindrical abdomirloperineal resection （CAPR） followed by retrospective analysis for comparison of efficacy and safety. Results No significant difference was found between Groups L - CAPR and CAPR in general information. Group L - CAPR presented less volumes of bleeding and a lower urinary retention rate than Group CAPR （ P 〈 0.05 ）. However, there was no significant difference in total complication incidence, positive circumferential resection margin and intra - operative perforation rate between both groups （ P 〉 0.05 ）. Conclu- sions L - CAPR can effectively reduce the volumes of intra - operative bleeding and post - operative urinary retention rate, which is a safe and feasible approach to treat lower rectal cancer.

关 键 词：低位直肠癌 柱状切除术 腹腔镜 

分 类 号：R657.1[医药卫生—外科学]