摘要
目的:探讨腹腔镜全直肠系膜切除治疗直肠癌的临床疗效。方法:按全直肠系膜切除原则、用吻合器(ETHICONENDO)在腹腔镜下对10例直肠癌患者实施全直肠系膜切除根治术。Dixon's5例、Mile's4例、合并腹腔镜单侧卵巢切除术1例。结果:10例患者手术顺利,无转为开腹,手术时间180～300min,平均240min;术中出血30～80mL,平均65mL,术后1～2d恢复胃肠功能并下床活动,住院时间7～15d,平均11d,术中及术后无并发症发生。10例均随访6～12个月,患者一般情况好,未发现肿瘤复发,无腹壁套管穿刺孔的癌种植,无1例死亡。结论:腹腔镜全直肠系膜切除治疗直肠癌创伤小、术后疼痛轻、恢复快、保肛率高、安全可靠、近期疗效满意。
Objective To assess the clinical effect of the laparoscopical total mesorectal excision in the treatment of the rectal carcinoma. Methods Excision of the mesorectum was performed through laparoscope on 10 patients with rectal cancer based on the concept of total mesorectal excision including Dixon＇s in 5 cases, Mile＇s in 4 cases mono-ovary excision in 1 case. Results Tern total mesorectal excision were successfully completed totally through laparoscope, and no one was converted to open procedure. The operation time was 240 minutes （180-300）. Operation blood loss was 65 mL（30-80）. The time of bowel function returning and the time to resume post operative diet was 1-2 days after the operation. Average hospital stay was 11 days （7-14）. There was no intraoperative or postoperative complications in all cases. After 6-12 months,all patients got a good living quality without recurrence nor plantations in the pores of the trocars. Conclusion Laparoscopical total mesorectal excision is a minimally invasive,feasible and effective technique with rapid recovery, dramatically higher rate of sphincter preservation,and less pain ofter operation.
出处
《实用诊断与治疗杂志》
2005年第8期576-578,共3页
Journal of Practical Diagnosis and Therapy
关键词
全直肠系膜切除术
腹腔镜
微创外科
直肠肿瘤
Mesorectal excision
laparoscope
rectal cancer
minimally invasive surgery
