直肠肿瘤；腹腔镜术；全直肠系膜切除术；保肛手术_

腹腔镜全直肠系膜切除术保肛治疗低位直肠癌

http://www.100md.com 《腹腔镜外科杂志》 1998年第1期

直肠肿瘤；腹腔镜术；全直肠系膜切除术；保肛手术,,直肠肿瘤；腹腔镜术；全直肠系膜切除术；保肛手术,【关键词】直肠肿瘤；腹腔镜术；全直肠系膜切除术；保肛手术,1资料与方法,2结果,3讨论,参考文献：

     【摘要】目的：探讨腹腔镜全直肠系膜切除术(total mesorectal excision,TME)行低位(超低位)直肠癌保肛治疗的方法与可行性。方法：按TME原则，用双吻合器技术在腹腔镜下对26例低位(超低位)直肠癌患者实行TME低位(超低位)结肠直肠(肛管)吻合术。结果：手术均获成功，无中转开腹，手术时间180～240min，平均210min；术中出血30～100ml，平均70ml；术后2d恢复胃肠功能并下床活动；住院7～14d，平均8d，无严重并发症发生。结论：腹腔镜TME低位(超低位)吻合术保肛治疗低位直肠癌具有创伤小、并发症少、出血少、肠功能恢复快等优点，安全可行。

    【关键词】直肠肿瘤；腹腔镜术；全直肠系膜切除术；保肛手术

    Laparoscopic total mesorectal excision with anal sphincter preservation in the treatment of low rectal cancer

    WU Yiwen,ZHANG Zhiyong,XU Jiapu,et al.

    The 331 Hospital of Zhuzhou,Zhuzhou 412002,China

    【Abstract】 Objective:To investigate the method and feasibility of laparoscopic total mesorectal excision(TME)with anal sphincter preservation in the treatment of low or ultralow rectal cancer.Methods:Excision of the mesorectum and low(ultralow)colorectal(anal) anastomosis were performed laparoscopically in 26 patients with low or ultralow rectal cancer based on the concept of TME and the double stapling technique(DST).Results:TME and DST were performed successfully in 26 patients through laparoscopy.The mean operative time was 210 min(180240 min)and the mean operative blood loss was 70ml(30100ml).The time for bowel function recovery was about two days.The average hospitalization was 8 days(714 days).Complications were not observed.Conclusions:Laparoscopic TME has some advantages in the treatment of low or ultralow rectal cancer ......

百拇医药网 http://www.100md.com/html/DirDu/2007/04/04/41/03/45.htm

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