摘要
目的 :探讨腹腔镜辅助下行全直肠系膜切除 (TME)手术的可行性。方法 :自 2 0 0 0年 3月至2 0 0 2年 6月在腹腔镜辅助下行TME手术 4 6例 ,其中Dixon手术 36例 ,Miles手术 10例。结果 :4 6例均按TME原则在腹腔镜辅助下完成手术 ,术中出血 10～ 5 0ml ,手术用时 2 5～ 5h ,无术中死亡病例 ,术后持续胃肠减压8～ 2 4h ,平均术后 2 4～ 4 8h开始进食 ,术后 2～ 3d拔除尿管下床活动 ,术后 3～ 5d正常排便。术后应用疼痛剂2 2例。术后随访 2 8例 1年以上 ,除 1例DukesD期患者局部复发外 ,其余 4 5例无复发及转移。结论 :腹腔镜辅助下TME手术 ,创伤小 ,术后疼痛轻 ,恢复快 ,虽然手术技巧及器械等有待改进 ,但此手术是可行的 。
Objective:To investigate the possibility of laparoscopy assisted TME operation.Methods:46 cases were performed TME under the help of laparoscopy.Results:The amount of bleeding during operation was between 10 and 50ml. The duration of operation was between 2.5 and 5 hours. Postoperatively, these tumors had been testified to C grade of rectal cancer by pathology.Conclusions:The laparoscopy assisted TME procedure is possible although that some aspects of operation skill and equipment need to be improved.
出处
《腹腔镜外科杂志》
2002年第4期232-234,共3页
Journal of Laparoscopic Surgery
