摘要
目的:探讨直肠脱出技术在腹腔镜低位保肛术中的应用价值。方法:回顾分析2005年10月至2009年1月运用直肠脱出技术行腹腔镜低位直肠前切除术的20例低位直肠肿瘤病人的临床资料,探讨其手术操作步骤及术后恢复情况、肿瘤根治性效果和随访结果。结果:所有病例均未发生术中严重并发症和手术死亡,无中转开腹手术;平均手术时间为(122±80)min,术中平均出血(50±70)mL,病人术后平均排气时间、留置导尿管时间及术后住院天数分别为(2.2±1.1)d、(4.9±2.4)d和(11.0±4.2)d。每例病人的平均清扫淋巴结总数为(15±4)枚,肿瘤距下切缘平均距离为(2.2±1.1)cm。所有病人均获随访,中位随访时间19(2～36)个月,未发现局部复发和远处转移,排便功能恢复均较满意。结论:直肠脱出技术运用于腹腔镜低位直肠保肛术安全有效,可作为低位直肠肿瘤保肛术的有效技术。
Objective To assess the outcome of laparoscopy-assisted low anterior resection with a prolapsing technique for low rectal tumor. Methods The surgical technique, oncological outcome, complications, and the short-term results were studied in 20 patients undergoing between October 2005 and January 2009, laparoscopy-assisted low anterior resection with a prolapsing technique for low rectal tumor. Results No case was converted to open operation. The mean operation time was （122±80） min, and the mean quantity of blood loss was （50±70） mL. The mean time for passage of flatus, duration of urinary drainage, and the length of postoperative hospital stay were （2.2±1.1） d, （4.9±2.4） d and （11.0±4.2） d respectively. The total number of lymph nodes harvest was （15±4） per case, and the mean distal margin from the tumor was （2.2±1.1） cm. The median follow-up time was 19（2-36） months. No local recurrence or metastasis was observed. Acceptable anal function results were obtained in the patients. Conclusions Laparoscopy-assisted low anterior resection with a prolapsing technique is a novel and saie radical procedure for sphincter-preservation.
出处
《外科理论与实践》
2009年第6期608-610,共3页
Journal of Surgery Concepts & Practice
关键词
腹腔镜
低位直肠前切除
直肠癌
直肠脱出技术
保肛
Laparoscopy
Low anterior resection
Rectal cancer
Prolapsing technique
Sphincter-preservation
