CAJ | 학술논문

目的：探讨免腹部辅助切口全腹腔镜下直肠癌根治手术操作要点、可行性、安全性和近期疗效。方法回顾性分析42例患者行免腹部辅助切口全腹腔镜下直肠癌根治术的临床资料。结果42例患者均顺利完成手术，无中转其他术式，无严重术后并发症，无手术相关死亡。手术时间平均(160±35) min，术中出血量平均(80±35.5) ml，手术标本清扫淋巴结平均(12±4.5)枚，术后排气时间(2.0±1.2) d，术后住院时间(13.52±5.06) d，术后发生吻合口漏1例，经保守半个月治疗后治愈。随访1~24个月未见肿瘤局部复发及转移。结论免腹部辅助切口全腹腔镜下直肠癌根治术安全可行，同时具有腹部伤口微创化、术后并发症少和术后恢复快的特点。
목적：탐토면복부보조절구전복강경하직장암근치수술조작요점、가행성、안전성화근기료효。방법회고성분석42례환자행면복부보조절구전복강경하직장암근치술적림상자료。결과42례환자균순리완성수술，무중전기타술식，무엄중술후병발증，무수술상관사망。수술시간평균(160±35) min，술중출혈량평균(80±35.5) ml，수술표본청소림파결평균(12±4.5)매，술후배기시간(2.0±1.2) d，술후주원시간(13.52±5.06) d，술후발생문합구루1례，경보수반개월치료후치유。수방1~24개월미견종류국부복발급전이。결론면복부보조절구전복강경하직장암근치술안전가행，동시구유복부상구미창화、술후병발증소화술후회복쾌적특점。
Objective To investigate the feasibility, safety, operating essentials and the short-term therapeu-tic effect of total laparoscopic resection for rectal cancer without abdominal assistant incision. Methods Clinical da-ta from 42 patients with rectal cancer from were retrospectively analyzed. Results All of the 42 patients with rectal cancer successfully received total laparoscopic resection without abdominal assistant incision or conversion to other surgery. None of patients had serious postoperative complications and death related to the operation. The average op-erating time was (160 ± 35) minutes. The blood loss was (80 ± 35.5) ml. The number of lymph nodes harvested was (12 ± 4.5) and the time of first bowel movement was (2.0 ± 1.2) days. The postoperative hospitalization stay was (13.52 ± 5.06) days. There was one case of anastomotic leakage and was cured by conservative treatment for fifteen days. No local recurrence and metastasis in patients with colorectal cancer was found after follow-up for 24 months. Conclusion Total laparoscopic resection for rectal cancer without abdominal assistant incision is safe and feasible, with minimally invasive abdominal wound and few postoperative complications.