中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2012年
4期
429-431
,共3页
低位直肠癌%全直肠系膜切除术%腹腔镜手术
低位直腸癌%全直腸繫膜切除術%腹腔鏡手術
저위직장암%전직장계막절제술%복강경수술
Low rectal cancer%Total mesorectal excision%Laparoscope surgery
目的 探讨腹腔镜下低位直肠癌全直肠系膜切除术(TME)的可行性.方法 按TME原则,在腹腔镜下对126例低位直肠癌患者行直肠癌根治性切除术.结果 手术时间95～180 min,平均(117±21) min；术中出血50 ～ 200 ml,平均(90±27)ml；术后2～3d恢复胃肠功能；住院时间6～14 d,平均(8±2)d.中转开腹4例,中转开腹手术率3.2％.保肛率95.24％ (120/126).全组术中、术后未发生输尿管即时损伤或延迟性损伤以及骶前大出血等严重手术操作相关并发症.结论 腹腔镜下TME治疗低位直肠癌是安全可行的.
目的 探討腹腔鏡下低位直腸癌全直腸繫膜切除術(TME)的可行性.方法 按TME原則,在腹腔鏡下對126例低位直腸癌患者行直腸癌根治性切除術.結果 手術時間95～180 min,平均(117±21) min；術中齣血50 ～ 200 ml,平均(90±27)ml；術後2～3d恢複胃腸功能；住院時間6～14 d,平均(8±2)d.中轉開腹4例,中轉開腹手術率3.2％.保肛率95.24％ (120/126).全組術中、術後未髮生輸尿管即時損傷或延遲性損傷以及骶前大齣血等嚴重手術操作相關併髮癥.結論 腹腔鏡下TME治療低位直腸癌是安全可行的.
목적 탐토복강경하저위직장암전직장계막절제술(TME)적가행성.방법 안TME원칙,재복강경하대126례저위직장암환자행직장암근치성절제술.결과 수술시간95～180 min,평균(117±21) min；술중출혈50 ～ 200 ml,평균(90±27)ml；술후2～3d회복위장공능；주원시간6～14 d,평균(8±2)d.중전개복4례,중전개복수술솔3.2％.보항솔95.24％ (120/126).전조술중、술후미발생수뇨관즉시손상혹연지성손상이급저전대출혈등엄중수술조작상관병발증.결론 복강경하TME치료저위직장암시안전가행적.
Objective To study the feasibility of laparoscopic total mesorectal excision(TME) for low rectal cancer.Methods Laparoscopic total mesorectal excision was performed in 126 patients with low rectal cancer according to TME principle.Results The operation time was 95 - 180 min,with an average time of ( 117 ± 21 ) min,the amount of bleeding 50 - 200 ml,with an average amount of (90 ± 27 ) ml.2 - 3 days after surgery,gastrointestinal function was restored.Hospital stay was 6 - 14 days,with an average of (8 ± 2)days.Four cases converted to open surgery,the conversion rate for laparotomy was 3.2％.The proportion of sphincter-preserving operation was 95.24％ (120/126).No instant or delayed injury of ureters,large bleeding in front of sacrum and other operation-related severe complications happened intra-and after operation.Conclusion Laparoscopic surgery for low rectal cancer is safe and feasible.
