腹腔镜直肠全系膜切除结肠J袋肛管吻合术治疗低位直肠癌的分析

Laparoscopic TME and J-pouch colon-anal anastomosis in treatment of low rectal cancer

目的评价腹腔镜直肠全系膜切除结肠J型贮袋肛管吻合术治疗低位直肠癌的可行性及对排便功能的改善作用.方法按TME原则,在腹腔镜下对10例低位直肠癌患者实施结肠J型贮袋肛管吻合术.结果腹腔镜下直肠全系膜切除结肠J袋肛管吻合术均获成功.手术时间120～180min,平均135min,术中平均出血20ml.术后无吻合口漏的发生,术后排便次数明显减少,能从容控制排便.结论腹腔镜下行直肠全系膜切除结肠J型贮袋肛管吻合术不仅能达到根治目的,具有创伤小,出血少,恢复快的优点,又具有明显改善排便功能的作用.

Objective: To evaluate the feasibility of treating low rectal cancer with laparoscopic TME and J-pouch colon-anal anastomosis, and its advantages of protecting defecating function. Methods: Laparoscopic J-pouch colon-anal anastomosis was performed in 10 cases with low rectal cancer according to TME principles. Results: All the operations were finished successfully. The average length of operations was 135 minutes (120~180) minutes, the average blood loss was 20 ml (5~20) ml. No anastomotic leakage was observed. The patients could control defecation better. Conclusions: Laparoscopic TME and J-pouch colon-anal anastomosis not only reach the radical dissection standard, but also have the advantages of minimal injury, less blood loss and better protection of defecating function.