【摘 要】
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目的 总结手辅助腹腔镜(HALS)下低位和超低位直肠癌保肛手术的经验和近期疗效.方法 回顾性分析2010年1月至2011年1月间在中山大学附属第一医院胃肠外科接受HALS下直肠前切除
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目的 总结手辅助腹腔镜(HALS)下低位和超低位直肠癌保肛手术的经验和近期疗效.方法 回顾性分析2010年1月至2011年1月间在中山大学附属第一医院胃肠外科接受HALS下直肠前切除术的49例低位直肠癌患者的临床资料.结果 49例直肠癌患者肿瘤近端切缘(14.3±6.9) cm,远切缘(4.3±1.9)cm,手术时间(128.3±70.9) min,术后肉眼评估全直肠系膜切除完整者42例,接近完整者为7例;环周切缘大于或等于2mm者为42例,小于2mm者为7例;获得R0切除者46例,R1切除者3例.淋巴结受检总数(16.2±9.2)枚/例,转移淋巴结(1.12±2.19)枚/例.术后病理示TNM Ⅰ期12例,ⅡA期18例,ⅡB期1例,ⅢA期2例,ⅢB期8例,ⅢC期5例,Ⅳ期3例.术后住院时间(6.3±3.9)d,未见吻合口瘘、肠梗阻、腹、盆腔及吻合口出血,术后切口感染2例.结论 HALS下直肠癌低位和超低位前切除术安全、可行,近期效果良好.
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