论文部分内容阅读
目的探讨男性低位直肠癌患者行腹腔镜下全直肠系膜切除联合直肠经肛门拖出式吻合术的治疗效果。方法回顾性总结23例男性低位直肠癌患者保肛手术成功的经验。结果本组病例行腹腔镜全直肠系膜切除术,充分游离直肠下端并离断肿瘤近端后,将远端直肠和肿瘤一并经肛门拖出,闭合器切闭肿瘤远端,管状吻合器行直肠与降结肠端端吻合。23例患者均成功保留肛门,无手术死亡。术中及术后病理检查残端无肿瘤残留,术后均未发生吻合口漏。结论针对骨盆相对狭窄的男性患者,利用腹腔镜行全直肠系膜切除联合直肠经肛门拖出式吻合术,对于低位直肠癌保留肛门是安全可靠的,它可以简化手术难度,提高低位直肠癌保肛手术的成功率。
Objective To investigate the effect of laparoscopic total mesorectal excision combined with rectal anastomosis and pull-out anastomosis in male patients with low rectal cancer. Methods The retrospective summary of 23 cases of male patients with low rectal cancer anal sphincter preservation experience. Results This group of patients underwent laparoscopic total mesorectal excision, fully free the lower end of the rectum and the proximal segment of the tumor, the distal rectum and tumor were pulled together through the anus, the closure of the distal tumor closure, tubular stapling line Rectal and descending colon anastomosis. All 23 patients successfully retained the anus without any surgical death. Intraoperative and postoperative pathological examination stump no tumor residues, no anastomotic leakage occurred after surgery. Conclusion For the relatively narrow pelvic male patients, the use of laparoscopic total mesorectal excision combined with rectal anastomosis anastomosis for low rectal cancer to retain the anus is safe and reliable, it can simplify the operation difficulty and improve the low rectal cancer anal anus The success rate of surgery.