腹腔镜辅助经肛外翻式直肠癌切除术5例分析

Laparoscope-sassisted transanal excision for recal cancer:report of 5 cases

目的探讨中、低位直肠癌保留肛门括约肌功能的理想术式。方法对早、中期低位直肠癌5例,采用腹腔镜辅助经肛外翻式直肠癌切除术资料分析。结果全组腹腔镜手术均顺利,无手术死亡,无中转开腹。肿瘤远端切缘均为阴性。平均随访6.8个月,无局部复发,无肝脏转移,均无瘤生存。术后1例发生吻合口狭窄。术后平均住院时间11(9～14)d。结论在严格掌握手术适应证的条件下,腹腔镜辅助经肛外翻式直肠癌切除术是治疗早、中期低位直肠癌的一种经济、可靠的手术方式,其远期疗效尚有待于进一步观察。

0bjective To investigate the proper procedures of anal sphincter preservation for middle-low rectal cancer.Methods Laparoscope-assisted trans-anal excision was performed for 5 patients with low rectal cancer of early to inter-mediate stage.Results No operative death and,no open transfer occurred in the 5 patients.Incision edges of he distal end of excised tumors were proved negative pathologically.The mean time of follow up was 6.8 months ,and no local recurrence and metastasis were found in the patients.One patient had stoma stenosis. The mean hospital stay of the patients was 11 days.Conclusion Laparoscopi-assisted trans-anal excision is safe,practical,and ecoomic for low rectal cancer.