腹腔镜低位直肠癌切除保肛术的实践与技术

Techniques and practice of laparoscopic sphincter-preserving surgery for low rectal cancer

腹腔镜技术在低位直肠癌治疗中的应用仍是当前结直肠手术发展中极受关注的热点问题之一。正确合理的手术操作技术和充分的手术实践是腹腔镜直肠癌手术得以安全有效开展的基础。腹腔镜低位直肠前切除术、腹腔镜低位直肠前切除术联合经肛门括约肌间切除或经肛门直肠脱出外翻等术式是腹腔镜下低位直肠癌切除保肛手术可选的手术方法。而根据肿瘤位置的高低,还可选择吻合器法或经肛结肠肛管吻合等吻合方法。

Laparoscopic surgery for mid-low rectal cancer is recently a hot topic in colorectal surgery. The widespread of laparoscopic rectal surgery is based on its correct manipulation and adequate practice. Laparoscopic anterior resection, laparoscopic anterior resection with ISR or with prolapse techniques are alternative laparoscopic sphincter-preserving procedures for mid-low rectal cancer. Colorectal anastomosis with double stapler techniques and coloanal anastomosis with hand-sewn techniques are usual reconstruction procedures in laparoscopic sphincter-preserving surgery for mid-low rectal cancer.