腹腔镜直肠癌全直肠系膜切除术的临床应用

The clinical application of laparoscopic total mesorectal excision

目的：探讨腹腔镜全直肠系膜切除术的临床应用。方法：回顾分析13例腹腔镜直肠全系膜切除术患者的临床资料。结果：13例均用腹腔镜完成手术,手术时间150-240min,平均165min,术中平均出血150ml。术后均无严重并发症发生,随访0.5-5年,无一例肿瘤复发,穿刺部位及造瘘口均无肿瘤种植。结论：腹腔镜全直肠系膜切除术具有较高的实用价值,在严格掌握手术适应证、不断提高手术技巧的基础上,腹腔镜直肠癌全直肠系膜切除术是可行的。

Objective：To evaluate the application of laparoscopic total mesorectal excision（TME）. Methods：The clinical data of thirteen cases with laparoscopic total mesorectal excision were analyzed retrospectively. Results：Thirteen cases underwent laparoscopic total mesorectal excision. The mean operative time was 165min. The mean blood loss was 150ml. No recurrence was found in all patients, No implantation was found in the port side and incisions of abdominal wall in the all patients. Conclusions： Laparoscopic total mesorectal excision is both feasible and safe which should be performed by a skilled surgeon.