CAJ | 학술논문

目的探讨免腹部切口腹腔镜结直肠切除经肛门拖出术的可行性和治疗效果.方法回顾性分析2009年1月至2011年5月间在北京世纪坛医院接受免腹部切口腹腔镜结直肠切除经肛门拖出术的12例患者的临床资料.结果 12例患者中男性8例,女性4例,年龄41～67(平均58)岁；便秘5例,乙状结肠癌3例,直肠癌4例.12例均经腹腔镜完成手术,无中转开腹病例,手术时间(240±45) min,术中出血量(70±40) ml.术后无吻合口瘘和吻合口狭窄等并发症,仅1例便秘患者术后出现顽固性右下腹痛,经解痉对症处理后缓解.术后6个月,5例便秘患者排粪频率3～7次/d,7例乙状结肠和直肠癌患者1～2次/d.术后随访1～20个月,未见局部复发和转移病例.结论免腹部切口腹腔镜结直肠切除经肛门拖出术是一种安全可行、疗效可靠的术式.
목적 탐토면복부절구복강경결직장절제경항문타출술적가행성화치료효과.방법 회고성분석2009년1월지2011년5월간재북경세기단의원접수면복부절구복강경결직장절제경항문타출술적12례환자적림상자료.결과 12례환자중남성8례,녀성4례,년령41～67(평균58)세；편비5례,을상결장암3례,직장암4례.12례균경복강경완성수술,무중전개복병례,수술시간(240±45) min,술중출혈량(70±40) ml.술후무문합구루화문합구협착등병발증,부1례편비환자술후출현완고성우하복통,경해경대증처리후완해.술후6개월,5례편비환자배분빈솔3～7차/d,7례을상결장화직장암환자1～2차/d.술후수방1～20개월,미견국부복발화전이병례.결론 면복부절구복강경결직장절제경항문타출술시일충안전가행、료효가고적술식.
Objective To investigate the feasibility and efficacy of transanal specimen extraction in laparoscopic colorectal resection.Methods From January 2009 to December 2010,transanal specimen extraction technique was performed in 12 patients undergoing laparoscopic colorectal resection.The clinical data were retnospectively analyzed.Results There were 8 males and 4 females.The age ranged from 41 to 67 (mean,58) years old.The mean operative time was (240±45) min,mean blood loss was (70±40) ml.There was no anastomotic leakage or stenosis.One patient with constipation suffered from intractable right lower abdominal pain and was managed with antispasmodic agents.The frequency of bowel movements was 3-7/d in the 5 patients with constipation and 1-2/d in patients with colorectal carcinoma at six months postoperatively.No local recurrence and metastasis in patients with colorectal cancer after follow-up of 1-20 months.Conclusion Transanal specimen extraction in laparoscopic colorectal resection is feasible,safe,and reliable.