摘要
目的探讨腹腔镜下全直肠系膜切除(TME)基础上采用内括约肌切除保肛术治疗低位直肠癌的可行性和初步结果。方法 2007-04～2008-06对36例低位直肠癌患者经腹腔镜实施内括约肌切除保肛手术的临床资料进行回顾分析。结果 36例行内括约肌切除术患者手术顺利,平均手术时间(110±32)min,术中平均出血量(15±18.5)ml,术后持续性胃肠减压8～48 h,肠蠕动恢复时间(24±17)h,术后1～3 d开始进食,术后1～3 d拔除导尿管并下床活动,住院时间平均为8 d。术后随访8～20个月,术后有12例患者出现前切除后综合征,3～6个月后症状消失,目前未发现转移复发患者。结论全系膜切除是直肠癌根治切除必须遵循的原则;经腹腔镜行内括约肌切除保肛手术治疗低位和超低位直肠癌安全可行,且创伤小、出血少、手术疼痛轻、恢复快。
Objectives To explore the reliability of treating low rectal cancer by using the procedure of laparoscopic internal-sphincter resection（ISR） and anus-saving based on TME（total mesorectal excision）.Methods From April,2007 to June,2008 the 36 patients had been subjected to the above-mentioned procedure;Their data was analysed retrospectively.Results The operation for all 36 patients was performed successfully,no operative death occured;average operative time was 110±32 min,average bleeding volume during the operation was 15±18.5 ml;postoperative continous depression for gastro-intestine was for 8-48 h,recovery time of intestinal peristalsis was 24±17 h;average hospital stay was 8 days;all the patients were followed-up for 8-20 monthes;up to date no recurrence and metastasis in the 36patients was found,whose function was reserved with satisfactory outcome.Conclusion The procedure in this study has such advantages as safety,reliability,less trauma,less hemorrhage,milder pain,and faster recovery,efc.
出处
《实用医药杂志》
2011年第1期3-4,7,共3页
Practical Journal of Medicine & Pharmacy
