摘要
目的探讨腹腔镜超低位直肠癌拖出切除吻合术的可行性。方法回顾性总结2005年11月至2006年12月西南医院21例行腹腔镜超低位直肠癌拖出切除吻合术患者的临床资料，分析患者的术中情况、术后并发症及随访情况。结果21例患者均顺利完成手术，无一例中转开腹，手术时间170～260（216±25）rain，术中出血80～250（140±49）ml，肖肠功能恢复时问38～88（65±14）h，术后住院时间7～11（9．4±1．0）d。随访15～28（22±4）个月，6例出现轻中度吻合口狭窄，1例局部复发，1例肝转移，无吻合口出血及吻合口瘘发生。结论腹腔镜超低位直肠癌拖出切除吻合术安全、可行，近期疗效满意。
Objective To investigate the feasibility of laparoscopic-assisted transanal pull-through resection and anastomosis in the treatment of ultra-low rectal caneer. Methods From November 2005 to December 2006, 21 patients with ultra-low rectal cancer had undergone laparoscopic-assisted transanal pull-through resection and anastomosis in Southwest Hospital. The perioperative eondition, postoperative complications and the result of follow-up were retrospectively analyzed. Results The operation was successfully performed on all the patients. The mean operation time and postoperative hospital stay were （216±25 ） minutes （170-260 minutes） and （9.4±1.0） days （7-11 days）, respectively. The time needed ibr the recovery of gastrointestinal function was （65±14） hours （38-88 hours）. The mean perioperative blood loss was （140±49） ml （80-250 ml）. All the patients were followed up for （22±4） months （15-28 months）, and no anastomotic bleeding or fistula was observed. Six patients developed mild to moderate anastomotic stricture, 1 local recurrence and 1 liver metastasis. Conclusions Laparoscopie-assisted transanal pall-through resection and anastomosis for ultra-low rectal cancer is safe and feasible, and the short-term effect is satisfactory.
出处
《中华消化外科杂志》
CAS
CSCD
2009年第1期30-32,共3页
Chinese Journal of Digestive Surgery
基金
基金项目：全军“十一五”课题（06MB243）
关键词
直肠肿瘤
超低位
腹腔镜检查
拖出切除吻合术
Rectal neoplasms, uhra-tow
Laparoseopy
Puff-through resection and anastomosis
