CAJ | 학술논문

目的探讨保肛根治术治疗直肠癌的临床疗效.方法直肠癌患者35例,均经病理组织学检查确诊.所有患者均采用腹腔镜下直肠癌保肛根治术,术后常规化疗.随访时间3年,观察患者手术时间、术中出血量、术中及术后并发症、术后恢复情况、死亡情况等.结果患者手术均顺利完成,切除肠管边缘均未发现肿瘤细胞.手术时间(171.74±58.24) min,术中出血量(85.74±68.32) ml,均未发生感染、出血、吻合口破裂及狭窄等并发症.经2～3年随访,1例患者于术后5月出现肝脏转移,其余患者均健在,无原位复发,无大便失禁,无死亡病例.结论保肛根治术治疗直肠癌具有较好的疗效,并能够改善患者生活质量.
목적 탐토보항근치술치료직장암적림상료효.방법 직장암환자35례,균경병리조직학검사학진.소유환자균채용복강경하직장암보항근치술,술후상규화료.수방시간3년,관찰환자수술시간、술중출혈량、술중급술후병발증、술후회복정황、사망정황등.결과 환자수술균순리완성,절제장관변연균미발현종류세포.수술시간(171.74±58.24) min,술중출혈량(85.74±68.32) ml,균미발생감염、출혈、문합구파렬급협착등병발증.경2～3년수방,1례환자우술후5월출현간장전이,기여환자균건재,무원위복발,무대편실금,무사망병례.결론 보항근치술치료직장암구유교호적료효,병능구개선환자생활질량.
Objective To investigate the clinical efficacy of rectal resection for rectal cancer.Methods 35 patients with rectal cancer were diagnosed by pathological examination.They were treated with laparoscopic rectal cancer resection and conventional chemotherapy.The patients were followed up for 3 years.The operative time,blood loss,intraoperative and postoperative complications,postoperative recovery,death and so on were observed.Results The patients were operated successfully,and no tumor cells were found in the bowel edge.The average operative time was (171.74 ± 58.24) min,average blood loss was (85.74 ± 68.32) ml,there were no infection,bleeding,anastomotic complications.After 2 ～ 3 years of follow-up,there was 1 patient with liver metastases,and no local recurrence,no fecal incontinence and no deaths.Conclusion Rectal resection for rectal cancer had good effect and could improve patients' quality of life.