Clinical analysis of laparoscopy-assisted sphincter-preserving surgery for low rectal cancer with 18 cases attached

JIA Ying-dong; et al

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Clinical analysis of laparoscopy-assisted sphincter-preserving surgery for low rectal cancer with 18 cases attached

更新时间：2024-01-17

- Clinical analysis of laparoscopy-assisted sphincter-preserving surgery for low rectal cancer with 18 cases attached
- Journal of Chongqing Medical University Vol. 34, Issue 9, Pages: 1288-1289(2009)
- 作者机构：
  
  1. 四川省遂宁市中心医院普外科
  2. 重庆医科大学附属第一医院胃肠外科
- 作者简介：
- 基金信息：
- DOI：
  CLC： R735.37
- Published：2009，
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[1]贾映东,王子卫.18例腹腔镜低位直肠癌保肛术的临床分析[J].重庆医科大学学报,2009,34(09):1288-1289.

JIA Ying-dong, et al. Clinical analysis of laparoscopy-assisted sphincter-preserving surgery for low rectal cancer with 18 cases attached. [J]. Journal of Chongqing Medical University 34(9):1288-1289(2009)
[1]贾映东,王子卫.18例腹腔镜低位直肠癌保肛术的临床分析[J].重庆医科大学学报,2009,34(09):1288-1289. DOI：

JIA Ying-dong, et al. Clinical analysis of laparoscopy-assisted sphincter-preserving surgery for low rectal cancer with 18 cases attached. [J]. Journal of Chongqing Medical University 34(9):1288-1289(2009) DOI：

摘要

目的:探讨腹腔镜辅助低位直肠癌保肛手术的应用和临床效果。方法:在全直肠系膜切除的基础上

应用腹腔镜和一次性管状吻合器

对18例低位直肠癌行超低位结肛吻合

随访2～12月。回顾性分析其术中出血量、切缘癌残留、术后排便功能、手术并发症、局部复发率。结果:全组病例平均出血86ml

无切端癌残留

无大便失禁

无吻合口漏

无手术死亡

肿瘤局部无1例复发。结论:遵循肿瘤根治的原则

腹腔镜低位直肠癌保肛手术出血少

能保留患者的肛门排便功能

明显改善患者的生活质量。

Abstract

Objective:To explore the application and clinical effects of laparoscopy-assisted sphincter-preserving surgery for low rectal cancer. Methods:Following total mesorectum excision

ultra-low colon-anus anastomosis was performedin 18 cases with low rectal cancer by using laparoscopy and disposable circular stapler

then from 6-month to 12-month follow-up was did.The clinical data on intaoperative blood loss

residual tumour at the resection margin

postoperation defecation function

operative complications and local recurrence rate were analyzed retrospectively. Results:The mean blood loss was 86 ml in all cases

none of these cases suffered from residual tumour at the resection margin

fecal incontinence

anastomotic leakage

operative death and local recurrence. Conclusion:Based on the principle of radical resection

laparoscopy-assisted sphincter-preserving surgery for low rectal cancer is charactered with less bleeding

can preserve anus defecate function and improve quality of life in cases with low rectal cancer.

关键词

低位直肠癌腹腔镜保肛手术

Keywords

Low rectal cancerlaparoscopySphincter-preserving surgery

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