腹腔镜联合经肛腔镜技术治疗低位直肠癌手术的疗效观察  

作　　者：程川[1] 郑九建 王建平[1] 陈景锋 

机构地区：[1]浙江省丽水市中心医院,323000

出　　处：《浙江临床医学》2024年第7期1032-1034,共3页Zhejiang Clinical Medical Journal

基　　金：丽水市科技计划项目(2021SJZC020);湖北陈孝平科技发展基金会肿瘤防治研究槐耳专项(CXPJH122002-012);浙江省医药卫生科技计划项目(2021ZH074)。

摘　　要：目的 观察腹腔镜联合经肛腔镜技术治疗低位直肠癌根治术的疗效。方法 选取2019年6月至2022年6月低位直肠癌手术患者84例,依据不同术式将其分为腹腔镜组与联合腔镜组各42例,腹腔镜组采用传统腹腔镜技术行全直肠系膜切除术(TME),联合腔镜组采用腹腔镜联合经肛腔镜技术行TME术,两组均顺利完成手术,均行保护性回肠造口术。比较两组手术指标、手术副损伤、机体应激反应、术后肠功能恢复时间、近期并发症、肿瘤病理学指标、住院时间及费用、肛门功能、局部复发及远处转移情况。结果 联合腔镜组在手术时间、机体应激反应、术后肠功能恢复时间、住院时间及费用与腹腔镜组比较,差异有统计学意义(P<0.05)。结论 腹腔镜联合经肛腔镜用于低位直肠癌符合TME手术要求,加速患者康复并降低医疗负担。Objective To observe of the clinical efficacy of laparoscopic combined with transanal laparoscopic technique used in radical surgery for low rectal cancer.Methods A retrospective analysis of a total of 84 patients undergoing surgery for low rectal cancer from June 2019 to June 2022 in our hospital was selected and divided into the laparoscopy group and the combined endoscopic group with 42 cases respectively according to different operation methods.All low rectal carcinoma patients separately by laparoscopy and TaTME of total mechanical resection(TME).All patients underwent protective ileostomy.The relevant clinical indicators of the two groups(surgical indicators,surgical collateral injury,body stress response,postoperative intestinal function recovery time,recent complications,tumor pathology indicators,hospital stay,hospital cost,anal function,postoperative local recurrence and distant metastasis)were compared between the two groups.Results The conclusion showed that the combined endoscopic group had significant advantages over the laparoscopy group in terms of operation time,body stress response,postoperative intestinal function recovery time,hospital stay and cost,and the differences were statistically significant(P<0.05).Conclusion TaTME is safe,feasible and meets the requirements of TME surgery for low rectal cancer.It has advantages in operation time,surgical stress response,hospital stay and cost,and accelerates the recovery of patients and reduces medical costs.

关 键 词：腹腔镜联合经肛腔镜 腹腔镜 低位直肠癌 

分 类 号：R735.37[医药卫生—肿瘤]