摘要
目的探讨较经济的腹腔镜保肛术肛门外吻合治疗中低位直肠癌的可行性及适应证。方法腹腔镜下,锐性分离产生一个不间断的、光滑的完整标本(达TME水平),并将其经肛管拉出体外,行肛门外吻合。结果11例患者恢复良好,术中无副损伤,无中转开腹,术中出血70～180mL,平均住院11d,术中术后无并发症发生。结论腹腔镜保肛术肛门外吻合治疗中低位直肠癌,有传统的手术效果,安全,创伤小,术后疼痛轻,恢复快,费用低,是具有一定应用前景的微创技术。
[Objective]To explore fesibility and indication of economical operational way of laparoscopy reserving omal (anastomosis out of omal) for mesolow and low site rectal cancer. The procedures of laparoscopy operation could make a successive and smooth and complete specimen by sharp severing, and could approch a TME level which was pulled out of anal to anatomose. 11 cases of laparoscopy reserving anal operations were performed successfully, no one was converted to open precedure and side-damaged, the blood loss was 70~80 mL, the average days in hospital were 11 days. No complication were made in the operation and postoperation. [Conclusions] The effect of the paparoscopy reserving anal operation (anastomosis out ofomall) for the mesolow and low site rectal cancer is like the traditional open operation. It′s a perspective minimal invasive new techniqe and is a safe, low injurious, economical, rapidly recoverable, lightly painful operation.
出处
《中国内镜杂志》
CSCD
北大核心
2005年第4期348-349,共2页
China Journal of Endoscopy
关键词
腹腔镜
直肠癌
手术
laparoscope
rectal cancer
operation
