摘要
目的探讨腹腔镜经肛提肌腹会阴联合切除术(translevator abdominoperineal resection,TLAPR)治疗低位直肠癌的初步临床应用结果。方法分析上海中医药大学附属曙光医院普外科于2012年1月到2012年2月对3例低位直肠癌患者,在腹腔镜下完成经肛提肌腹会阴联合切除术的临床资料。结果本组3例患者均顺利完成手术,无中转开腹,未发生手术并发症。平均手术时间122 min,标本环周切缘均为阴性。3例患者术后平均随访21.3个月,无局部复发、远处转移,随访至今无死亡病例。结论腹腔镜经肛提肌腹会阴联合切除术治疗低位直肠癌安全、可行,可降低术中穿孔发生率,能降低环周切缘阳性率,短期随访预后良好。
Objectives To explore the preliminary application result of laparoscopic translevator abdominoperineal resection (TLAPR)for low rectal cancer. Methods The clinical data of 3 patients with low rectal cancer performed Lap-TLAPR were analyzed from January 2012 to February 2012,in Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine. Results All the procedures were successfully performed without any complications,or conversion to the open approach.The mean operation time was 122 minutes.All the specimens had negative circumferential margins. The mean follow-up period of 3 patients was 21.3 months,there was no local recurrence or death. Conclusions TLAPR is a safe and feasible surgical approach of low rectal cancer. TLAPR might reduce the incidence of positive CRM and intestinal perforation,and has a better prognosis than conventional abdominoperineal resection.
出处
《中华腔镜外科杂志（电子版）》
2014年第2期108-110,共3页
Chinese Journal of Laparoscopic Surgery(Electronic Edition)
基金
上海中医药大学附属曙光医院中西医结合微创治疗结直肠癌专病项目
关键词
直肠癌
腹腔镜手术
经肛提肌腹会阴联合切除术
Rectal cancer
Laparoscopic surgery
Translevator abdominoperineal resection
