腹腔镜和开腹直肠癌全系膜切除的对照研究
直肠肿瘤·腹腔镜·直肠全系膜切除术,,直肠肿瘤·腹腔镜·直肠全系膜切除术,1对象与方法,2结果,3讨论,参考文献
【摘要】目的:探讨腹腔镜下行直肠癌全直肠系膜切除根治术的临床效果。方法:24例直肠癌患者分为两组。腹腔镜组:采用全直肠系膜切除(LCR)12例。采用经腹腔镜下联合应用超声刀循盆筋膜壁层和脏层的间隙行锐性游离全直肠系膜,切除一个不间断的直肠整体标本。开腹组:12例,采用常规开腹手术。比较两组围手术期的状况、肿瘤切除的彻底性、肠旁淋巴结清扫数量。结果:两组切除标本的直肠系膜均完整,腹腔镜组中无中转开腹,腹腔镜组与开腹组淋巴结数分别为7.9±0.7个与8.1±0.9个(P>0.05);远端直肠均无癌残留;腹腔镜组手术后肠功能恢复早[(45±4.5)h VS (79±11.6)h,P>0.05],手术中出血量少[(185±41)ml VS (380±48)ml,P<0.01]。结论:经腹腔镜行全直肠系膜切除术(TME)手术是行之有效的,具有创伤小,恢复快等忧点。【关键词】直肠肿瘤·腹腔镜·直肠全系膜切除术
Clinical comparison of laparoscopic and open total mesorectal excision for rectal cancer
WANG Daorong1,SUN Yaoming2,ZHU Linhai1,LIAN Leyao1,QIU Ming3
1Department of General Surgery,Jiangsu Provincial Subei People’s Hospital(Yang
zhou 225001,China)
2Department of General Surgery,Jiangsu Provincial People’s Hospital (Nanjing
210029,China)
3Department of General Surgery,Changzheng Hospital of 2th Military Medical Uni
versity(Shanghai 200020,China) ......
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