| 完全腹腔镜下直肠癌全直肠系膜切除根治术29例报告 |
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| 引用本文： | 曾家耀,王宇坤. 完全腹腔镜下直肠癌全直肠系膜切除根治术29例报告[J]. 中国微创外科杂志, 2010, 10(5): 402-404 |
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| 作者姓名： | 曾家耀 王宇坤 |
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| 作者单位： | 广西中医学院第一附属医院胃肠腺体外科,南宁,530023 |
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| 摘 要： | 目的探讨四孔法完全腹腔镜下完成全直肠系膜切除(total mesorectal excision,TME)、直肠拖出低位或超低位行结肠-直肠、结肠-肛管吻合治疗直肠癌的可行性。方法2008年4月~2009年5月,按TME原则,四孔法完全腹腔镜下对29例低位直肠癌实施低位或超低位结肠-直肠、结肠-肛管吻合术,全系膜游离后拖出肛门外切除并手工吻合或吻合器吻合。结果29例均完全在腹腔镜下完成,无辅助切口,保肛率100%。手术时间150~310min,平均185min。术中出血20~120ml,平均50ml。术后2~3d恢复胃肠功能并下床活动,住院时间12~35d,平均15d。术后28例应用止痛剂。1例直肠阴道瘘。29例随访3~13个月,平均8个月,未发现穿刺口种植和局部复发。结论四孔法完全腹腔镜下行TME低位或超低位结肠-直肠、结肠-肛管吻合术治疗直肠癌安全可行,具有创伤小、出血少、保肛率高、术后疼痛轻、恢复快等优点。
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| 关 键 词： | 全直肠系膜切除术 直肠癌 保肛术 |
Laparoscopic Total Mesorectal Excision and Radical Rectectomy for Rectal Carcinoma:Report of 29 Cases |
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| Zeng Jiayao,Wang Yukun. Laparoscopic Total Mesorectal Excision and Radical Rectectomy for Rectal Carcinoma:Report of 29 Cases[J]. Chinese Journal of Minimally Invasive Surgery, 2010, 10(5): 402-404 |
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| Authors: | Zeng Jiayao Wang Yukun |
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| Affiliation: | Zeng Jiayao,Wang Yukun.Department of Gastrointestinal , Gl,s Surgery,First Affiliated Hospital of Guangxi Traditional Chinese Medicine College,Nanning 530023,China |
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| Abstract: | Objective To study the feasibility of total laparoscopic operation with four trocars to complete total mesorectal excision(TME),low or ultra low colorectal anastomosis,and colo-anal anastomosis for the treatment of rectal carcinoma.MethodsFrom April 2008 to May 2009,according to the principles of TME,four trocars were used to perform total laparoscopic operation on 29 cases of low rectal carcinoma from April 2008 to May 2009.Low or ultra low colorectal anastomosis and colo-anal anastomosis were carried out ... |
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| Keywords: | Total mesorectal excision Rectal carcinoma Anus-preserving operation |
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