摘要
目的:探讨腹腔镜直肠全系膜切除(TME)治疗中下段直肠癌的临床疗效。方法:选择我院外科行腹腔镜直肠全系膜切除治疗中下段直肠癌患者61例为腹腔镜TME组,与行开腹手术治疗的中下段直肠癌患者50例进行对照分析。结果:腹腔镜TME组手术时间明显较开腹手术组长(P<0.05),而切口长度、术中出血量、VSA评分、术后肛门排气时间及围手术期并发症发生率比较,腹腔镜TME组均明显优于开腹手术组(P<0.05);两组标本的上、下切缘均为阴性,标本长度和清除淋巴结的数目比较差异无统计学意义,P>0.05;腹腔镜TME组性功能、泌尿功能障碍发生率明显低于开腹手术组(P<0.05),而两组术后随访死亡、复发和转移比较差异无统计学意义,P>0.05。结论:腹腔镜直肠全系膜切除治疗中下段直肠癌手术是安全、可行的,不但能到达传统开腹手术相同的肿瘤根治远期疗效,且具有微创优势。
OBJECTIVE：To study the clinial effect of laparoscopic TME in treatment of middle and lower rectal cancer.METHODS：Totally 61 patients with middle and lower rectal cancer underwent laparoscopic TME,while 50 patients received open procedure,the clinical data were collected and compared.RESULTS：The mean operative blood loss,the length of incision,the grade of pain after operation,the resuming time of bowel function,the rates of post-operative complications in laparoscopic TME group were significantly lower than that in open group（P0.05）.The mean operating time in laparoscopic TME group was significantly longer than that in open group（P0.05）.No significant difference were detected between two group in specimen length and lymph node harvest,with negative margins in both groups（P0.05）.Decreasing sexual disfounction and urinary disfunction in laparoscopic TME group were much better than those of open group（P0.05）.The rate of death,recurrence and metastasis had no marked difference between the two groups（P0.05）.CONCLUSION：Laparoseopic TME surgery is feasible,safe and minimally invasive technique for middle and lower rectal cancer,which can get the same radical effect of TME compared with the traditional open procedure.
出处
《中华肿瘤防治杂志》
CAS
2010年第22期1865-1867,共3页
Chinese Journal of Cancer Prevention and Treatment
