腹腔镜直肠癌全直肠系膜切除术32例报告

Laparoscopic Total Mesorectal Excision of Rectal Carcinoma:Report of 32 Cases

目的：评价腹腔镜全直肠系膜切除术的临床疗效。方法：回顾分析32例腹腔镜直肠全系膜切除术患者的临床资料。结果：30例用腹腔镜完成手术,手术时间160~240 m in,平均195 m in;术中平均出血150 mL,清除淋巴结总数平均为12.1个。术后均无严重并发症发生,随访1~3年无肿瘤复发,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 curative effect of laparoscopic total mesorectal excision（TME）.Methods：The clinical data of 32 cases with laparoscopic total mesorectal excision were analyzed retrospectively.Results：Thirty of 32 cases underwent laparoscopic total mesorectal excision.The average operative time was 165 min.The average blood loss was 195 mL.The mean number of cleared lymph nodes was 12.1.In the followed-up of 12~36 months,for 32 patients there were no local recurrence and distant metastasis.No implantation was found in the port side and incisions of abdominal wall in the all patients.Conclusion：Laparoscopic total mesorectal excision is both feasible and safe of which should be performed by a skilled surgeon.