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本文报道3例直肠癌在腹腔镜辅助下经腹会阴切除(APR)的经验,并与传统的APR死亡率、住院时间、术后疼痛和切除的适宜度进行了比较。病例1,女性,72岁,主诉无痛性直肠出血,直肠检查和活检发现齿线近端3cm有一腺癌。经结肠镜清洗近端结肠后,在腹腔镜辅助下做APR,无并发症,术后7天出院,病理发现Astller Coller B_2病变,2个淋巴结阴性。
This article reports the experience of laparoscopic assisted peritoneal perineal excision (APR) in 3 cases of rectal cancer and compares them with the traditional APR mortality, length of hospital stay, postoperative pain and the appropriateness of resection. Case 1, female, 72 years old, complained of painless rectal bleeding, rectal examination and biopsy found near the tooth line 3cm have an adenocarcinoma. After colonoscopy to clean the proximal colon, APR was performed with the help of laparoscopy. No complications were found and the patients were discharged 7 days after operation. Astler Coller B 2 pathological changes were found in the pathology and two lymph nodes were negative.