中国普通外科杂志2011，Vol.20Issue(4)：352-355,4.
腹腔镜下低位直肠癌经肛拖出切除吻合术的临床研究
Clinical study on laparoscopic transanal pull-through resection and anastomosis for low rectal cancer
赵文韬 1周翔宇 2章伟 2王自强2
作者信息
- 1. 广州中医药大学第一附属医院,肛肠外科,广东,广州,510405
- 2. 四川大学华西医院,普通外科,四川成都,610041
- 折叠
摘要
Abstract
Objective To evaluate the value of laparoscopic transanal pull-through resection and anastomosis for treatment of low rectal cancer. Methods The clinical data of 12 patients with low ractal cancer undergoing laparoscopic transanal pull-through resection and anastomosis, were retrospective analysed. Of whom, the tumor located 1 - 3 cm from the dentate line, less than 4 cm in diameter, invasion of less than 1/2 the circumference of the lumen, localized within the bowel lumen, cell differentiation of high to moderate degree. All of the cases underwent total mesorectal excision ( TME ) under laparoscopic guidance; the rectum along with the tumor was pulled out from the anus and resected. Finally, the colorectal or coloanal anastomosis was made with stapler. Results Laparoscopic pull-through resection and anastomosis were successfully performed in all 12 cases and without conversions to open surgery. The mean operation time was 200 win (160 -240 win), and the mean intraoperative blood loss was 40 ml (30 -80 mL). In all cases, no residual tumor was found at resection margin. The time for recovery of gastrointestinal function and postoperative hospitalization was 36 to 60 h and 7 to 10 d respectively ,and no anastomotic fistula or bleeding was observed. These 12 cases were followed-up for 12 to 18 months, no local relapse was observed.Conclusions Laparoscopic transanal pull-through resection and anastomosis is an effective, simple and safe procedure, and can be as a good operation in treatment of early or middle clinical stage low rectal cancer with favorable histological types and relatively smaller size.关键词
直肠肿瘤/外科学/低位直肠癌/腹腔镜手术/拖出切除吻合术分类
医药卫生引用本文复制引用
赵文韬,周翔宇,章伟,王自强..腹腔镜下低位直肠癌经肛拖出切除吻合术的临床研究[J].中国普通外科杂志,2011,20(4):352-355,4.
