中华胃肠外科杂志
中華胃腸外科雜誌
중화위장외과잡지
CHINESE JOURNAL OF GASTROINTESTINAL SURGERY
2015年
8期
750-754
,共5页
直肠肿瘤, 低位%腹腔镜手术%内括约肌切除术%经腹会阴联合直肠切除术%保肛手术
直腸腫瘤, 低位%腹腔鏡手術%內括約肌切除術%經腹會陰聯閤直腸切除術%保肛手術
직장종류, 저위%복강경수술%내괄약기절제술%경복회음연합직장절제술%보항수술
Rectal neoplasms,low%Laparoscopic surgery%Intersphincteric resection%Abdominoperineal excision%Sphincter-preserving surgery
目前，腹腔镜直肠癌手术中的安全性及有效性已被大量循证医学证据所证实，因此，腹腔镜手术已经广泛应用于低位直肠癌的治疗中。直肠癌手术是否能保留肛门，是医生与患者均十分关注的重要问题。保肛手术应在保证肿瘤R0切除的前提下进行。本文就低位直肠癌手术中腹腔镜技术的应用及保肛手术的术式选择进行讨论。
目前，腹腔鏡直腸癌手術中的安全性及有效性已被大量循證醫學證據所證實，因此，腹腔鏡手術已經廣汎應用于低位直腸癌的治療中。直腸癌手術是否能保留肛門，是醫生與患者均十分關註的重要問題。保肛手術應在保證腫瘤R0切除的前提下進行。本文就低位直腸癌手術中腹腔鏡技術的應用及保肛手術的術式選擇進行討論。
목전，복강경직장암수술중적안전성급유효성이피대량순증의학증거소증실，인차，복강경수술이경엄범응용우저위직장암적치료중。직장암수술시부능보류항문，시의생여환자균십분관주적중요문제。보항수술응재보증종류R0절제적전제하진행。본문취저위직장암수술중복강경기술적응용급보항수술적술식선택진행토론。
Currently, the safety and efficiency of laparoscopic surgery for rectal cancer have been confirmed by large amount of evidences. Laparoscopic surgery has been commonly applied in the treatment for low rectal cancer. Sphincter preservation is a highly concerning issue for patients and surgeons during rectal cancer surgery. Sphincter-preserving surgery should be based on the R0 resection. The article reviews the application of laparoscopic surgery for low rectal cancer and the choice of operations for sphincter-preserving surgery.
