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目的对比分析腹腔镜与开腹低位保肛手术的预后。方法对国内外有关腹腔镜与开腹低位保肛手术预后比较的文献进行综述。结果腹腔镜直肠癌低位保肛手术与传统开腹手术比较并不增加局部复发率及远处转移率。结论腹腔镜低位直肠癌保肛手术的安全性、可行性以及长期预后尚需更多随机对照的临床试验以及更多的循证医学证据来验证。
Objective To compare and analyze the prognosis of laparoscopic and open lower anus preservation operation. Methods The literature review comparing the outcomes of laparoscopic and open surgery for anal sphincter preservation at home and abroad was reviewed. Results Laparoscopic rectal cancer anal surgery and low open surgery compared with the traditional does not increase the local recurrence rate and distant metastasis rate. Conclusion The safety, feasibility and long-term prognosis of anal sphincter preservation in laparoscopic low rectal cancer still need more randomized controlled clinical trials and more evidence-based medical evidence.