摘要
目的研究腹腔镜全直肠系膜切除术(TME)联合经肛门内括约肌间切除术(ISR)治疗超低位直肠癌的效果。方法回顾性分析2011年1月至2015年1月于我院进行手术治疗的60例超低位直肠癌患者临床资料,根据手术方法分为腹腔镜组(n=25)与开腹组(n=35),观察比较两组治疗效果。结果与开腹组比较,腹腔镜组手术时间显著延长(P <0. 05),但术中出血量及出院时间显著减少/缩短(P <0. 05);腹腔镜组和开腹组并发症发生率分别为8. 00%和28. 57%(P <0. 05);术后6个月,两组Williams分级、肛管测压结果差异均无统计学意义(P> 0. 05),但腹腔镜组生活质量显著高于开腹组(P <0. 05);随访3年,两组局部复发率、远处转移率及生存率无统计学意义(P> 0. 05)。结论腹腔镜下TME联合ISR治疗低位直肠癌具有微创优势,其效果与开腹手术相似。
Objective To investigate the effects of laparoscopic total mesorectal excision(TME)combined with intersphincteric resection(ISR)in the treatment of ultra-low rectal cancer.Methods The clinical data of 60 patients with ultra-low rectal cancer who underwent surgery in our hospiUil from Janufiry 2011 to January 2015 were retrospectively analyzed.According to the surgical methods,the patients were divided into laparoscopic group(ti=25)and open group(n=3 5).The treatment effects were compared between the two groups.Results Compared with the open group,the operative time in laparoscopic group was significantly prolonged,but the intraoperative blood loss and discharge time were significantly reduced or shortened(P<0.05).The incidence of complications in the laparoscopic group and the open group were 8.00%and 28.57%respectively(P<0.05).At 6 months after operation,there were no significant differences in the Williams grading and anal pressure between the two groups(P>0.05),but the quality of life in the laparoscopic group was significantly higher than that in the open group(P<0.05).After 3 years of follow-up,there were no significant differences in the local recurrence rate,distant metastasis rate and survival rate between the two groups(P>0.05).Conclusion Laparoscopic TME combined with ISR for ultra-low rectal cancer has minimally invasive advantages,and its effects are similar to open surgery.
作者
毛益虎
MAO Yi-hu(The First Department of Surgery,Lezhi Peopled Hospital,Lezhi 641500,China)
出处
《实用医院临床杂志》
2019年第2期140-142,共3页
Practical Journal of Clinical Medicine
