摘要
Abstract
Objective To investigate the effect of transanal endoscopic minimally invasive surgery on the postoperative recovery and recurrence of patients with low rectal stromal tumors.Methods A total of 80 patients with low rectal stromal tumors admitted to our hospital from February 2019 to March 2023 were randomly divided into group A and group B,with 40 cases in each group.Patients in group A were treated with TEM,and patients in group B were given laparoscopic mesorectal resection.The postoperative recov-ery time,anorectal pressure before and after operation,postoperative complications and recurrence were compared between the two groups.Results The postoperative hospital stay,first feeding time,and first exhaust time in group A were shorter than those in group B(P＜0.05).There was no significant differ-ence in rectal maximal tolerable volume(MTV),anal maximal systolic pressure(MSP),anorectal resting pressure(ARP)and rectal volume sensory threshold(RVST)between the two groups one week before operation(P＞0.05).One month after operation,MTV,MSP,ARP and RVST in group A were higher than those in group B(P＜0.05).The incidence of complications and recurrence rate in group A were lower than those in group B(P＜0.05).Conclusion TEM in the treatment of patients with low rectal stromal tumors can promote postoperative recovery,with high safety and low recurrence rate.关键词
低位直肠间质瘤/肛门内镜微创术/临床效果/复发Key words
Low rectal stromal tumors/Transanal endoscopic minimally invasive surgery/Clinical effect/Recurrence
