CAJ | 학술논문

目的探讨腹腔镜超低位直肠癌拖出切除吻合术的可行性.方法回顾性总结2005年11月至2006年12月西南医院21例行腹腔镜超低位直肠癌拖出切除吻合术患者的临床资料,分析患者的术中情况、术后并发症及随访情况.结果 21例患者均顺利完成手术,无一例中转开腹,手术时间170～260(216±25)min,术中出血80～250(140±49)ml,胃肠功能恢复时间38～88(65±14)h,术后住院时间7～11(9.4±1.0)d.随访15～28(22±4)个月,6例出现轻中度吻合口狭窄,1例局部复发,1例肝转移,无吻合口出血及吻合口瘘发生.结论腹腔镜超低位直肠癌拖出切除吻合术安全、可行,近期疗效满意.
목적 탐토복강경초저위직장암타출절제문합술적가행성.방법 회고성총결2005년11월지2006년12월서남의원21례행복강경초저위직장암타출절제문합술환자적림상자료,분석환자적술중정황、술후병발증급수방정황.결과 21례환자균순리완성수술,무일례중전개복,수술시간170～260(216±25)min,술중출혈80～250(140±49)ml,위장공능회복시간38～88(65±14)h,술후주원시간7～11(9.4±1.0)d.수방15～28(22±4)개월,6례출현경중도문합구협착,1례국부복발,1례간전이,무문합구출혈급문합구루발생.결론 복강경초저위직장암타출절제문합술안전、가행,근기료효만의.
Objective To investigate the feasibility of laparoscopic-assisted transanal pull-through resection and anastomosis in the treatment of ultra-low rectal cancer.Methods From November 2005 to December 2006,21 patients with ultra-low rectal cancer had undergone laparoscopic-assisted transanal pull-through resection and anastomosis in Southwest Hospital.The perioperative condition,postoperative complications and the result of follow-up were retrospectively analyzed.Results The operation was successfully performed on all the patients.The mean operation time and postoperative hospital stay were(216±25)minutes(170-260 minutes)and(9.4±1.0)days(7-11 days),respectively.The time needed for the recovery of gastrointestina]function was(65±14)hours(38-88 hours).The mean perioperative blood loss was(140±49)ml(80-250 ml).All the patients were followed up for(22±4)months(15-28 months),and no anastomotic bleeding or fistula was observed.Six patients developed mild to moderate anastomotic striclure,1 local recurrence and 1 liver metastasis.Conclusions Laparoscopic-assisted transanal pull-through resection and anastomosis for ultra-low rectal cancer is safe and feasible,and the short-term effect is satisfactory.