腹腔镜下直肠拖出切除治疗低位直肠癌的临床研究

Laparoscopy-assisted anterior resection with prolapsing technique for low rectal cancer

评价低位直肠癌经腹腔镜下直肠拖出切除保肛手术的疗效。回顾性总结我院19例低位直肠癌患者腹腔镜下直肠经肛门拖出切除保留肛门括约肌手术的病例资料。所有患者手术均获成功，无手术死亡，吻合口瘘2例，1例局部复发。腹腔镜下经肛门拖出切除肿瘤保肛术治疗低位直肠癌安全可行，创伤小，切缘明确，是一种可选择的根治性保肛手术方法。

Nineteen patients with low rectal cancer underwent laparoscnpy-assisted anterior resection with prolapsing technique for sphincter preservation. The clinical data were retrospectively reviewed. Fecal continence was preserved successfully in all patients. There was no perioperative mortality, only two cases with anastomotic leak and one case with local recurrences. Laparoscopy-assisted anterior resection with a prolapsing technique for low rectal cancer is safe procedure and can be an alternative sphincter-preserving operation_