腹腔镜下直肠癌前切除术

Laparoscopic anterior resection of 32 patients with rectal cancer

目的 :腹腔镜下直肠癌前切除术的临床应用研究。方法 :采用腹腔镜辅助对 32例直肠癌患者进行前切除术。结果 :手术均获成功 ,无并发症发生。病理检查显示标本边缘均无肿瘤 ,切除范围满意 ,淋巴结清扫彻底 ,平均淋巴结数为 9枚。术后患者疼痛轻 ,肠功能恢复早 ,术后排便、排气时间平均为 31h ,术后平均住院天数为 7.5d。术后随诊均无操作孔种植。结论 :腹腔镜下行直肠癌前切除术是一种损伤少、恢复快的新技术 ,具有创伤小及肿瘤切除彻底的优点 ,会有很好的推广前景。

Objective:To summarize the clinical results of laparoscopic anterior resection of rectal cancer.Methods:32 cases of rectal cancer were operated on with laparoscopy. Results:All cases were underwent successfully and no complication was observed. All of the resected specimens were free of tumor in margin of clearance,and lymphovascular clearance was sufficient.The average number of resected lymph nodes was 9. Patients recovered quicker and first bowel movement were earlier,postoperational flatus and feces were passed at 31 hours.Pain at rest and in motion was significantly reduced and postoperational hospital stay were shorter(7.5days). No trocar port implantation in follow-up was observed. Conclusion:Our study demonstrates that laparoscopic anterior resection of rectal cancer can be safely performed and have advantages over traditional resection with the same oncologic results achieved. [