腹部无切口经直肠肛门外翻切除标本的低位直肠癌根治术
11例
徐永鹏;刘正;王贵玉;陈瑛罡;姜争;王锡山
【期刊名称】《肿瘤研究与临床》 【年(卷),期】2014(026)012
【摘要】目的 讨论腹部无切口经直肠肛门外翻切除标本的腹腔镜下直肠癌根治术的可行性及短期疗效.方法 完成腹部无切口经直肠肛门外翻切除标本的低位直肠癌根治术11例.结果 手术平均时间为(189.5±25.2)min,术中平均出血量为(25.4 ± 9.4) ml,术后平均排气时间为(38.9±8.6)h,住院平均时间为(12.7±2.5)d,淋巴结检出平均数目为(13.5±4.1)枚,肿瘤平均直径2.7(0.6~ 5.3) cm,无术中及术后并发症.结论 腹部无切口经直肠肛门外翻切除标本的低位直肠癌根治术在技术上可行,具有良好的安全性,其远期效果还需要进一步研究.%Objective To assess the feasibility and short-term effect of transanal everted extraction of laparoscopic rectal excision without abdominal incision.Methods Eleven patients were operated by transanal everted extraction of laparoscopic rectal excision without abdominal incision.Results All the operations were accomplished successfully,the average operative duration was (189.5±25.2) min,the intra-operative blood loss volume was (25.4±9.4) ml,the average time to flatus was (38.9±8.6) h,the average postoperative hospital stay was (12.7±2.5) d,and the number of lymph nodes harvested was 13.5±4.1.There were no post-operative complications.Conclusion The technique of transanal