摘要
目的探讨腹腔镜手术治疗直肠癌的可行性及疗效。方法选择2001年10月～2006年10月沈阳军区总医院普通外科接受腹腔镜治疗的直肠癌64例,其中Dixon手术43例、Miles手术20例、Hartmann手术1例。平均年龄61岁(22～82岁);男44例,女20例。肿瘤直径为1～10cm(平均4.5cm),TNM分期Ⅰ期25例、Ⅱ期19例、Ⅲ期15例、Ⅳ期5例;高分化10例、中分化49例、低分化5例。术后通过信件、电话和门诊随访,随访期6～66个月。结果全部病例中有52例得到随访,死亡12例,2例局部复发,1例肝转移,1例肺转移,无切口种植病例。术后5年以上的1例至今无复发和转移;术后3年以上的19例患者中4例失访,2例死亡,生存率88.24%。生存率与肿瘤TNM分期及分化程度密切相关(P<0.05)。结论腹腔镜手术治疗直肠癌的疗效满意,早期诊断、早期治疗是提高生存率的关键。
【Objective】To study the feasibility and curative effect of laparoscopic resection of rectal carcinoma. 【Methods】64 cases were chosen by laparoscopic resection of rectal carcinoma in our department from Oct. 2001 to Oct. 2006. 43 of them underwent Dixon operation, 20 underwent Miles operation, and 1 underwent Hartmann opera- tion. The average age of the patients was 61 (22~82), and 44 patients were male, 20 were female. The diameter of tumor was 1~10 (4.5) cm. Through TNM-classification, 25 cases were Ⅰ peri...
出处
《中国内镜杂志》
CSCD
北大核心
2008年第11期1185-1187,共3页
China Journal of Endoscopy
关键词
腹腔镜
直肠肿瘤
治疗效果
laparoscopic
rectal carcinoma
curative effect
