[1]周总光　 于永扬　 李立　 舒晔　 雷文章　 程中　 王天才.腹腔镜全直肠系膜切除保肛治疗低位直肠癌(附42例报告)[J].中国微创外科杂志,2002,02(2):85-87.
　.Zhou Zongguand,Yu Yongyang,Li Li,et al.Laparoscopic total mesorectal excision and anal sphincter preservation in the treatment of rectal cancer:a report of 42 cases.[J].Chinese Journal of Minimally Invasive Surgery,2002,02(2):85-87.
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腹腔镜全直肠系膜切除保肛治疗低位直肠癌(附42例报告)()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
02
期数:
2002年2期
页码:
85-87
栏目:
出版日期:
2002-04-30

文章信息/Info

Title:
Laparoscopic total mesorectal excision and anal sphincter preservation in the treatment of rectal cancer:a report of 42 cases.
作者:
周总光　 于永扬　 李立　 舒晔　 雷文章　 程中　 王天才
四川大学华西医院普外科,成都,610041
Author(s):
.Zhou Zongguand;  Yu Yongyang;  Li Li; et al.
Department ofGeneral Surgery, West ChinaHospi- tal, Sichuan University, Chengdu610041, China.
Keywords:
Total mesorectal excision　Rectal cancer　Anal sphincter preservation　Minimally invasive
分类号:
R735.370.5
文献标志码:
A
Abstract:
ObjectiveTo assess the feasibility of laparoscopic total mesorectal excision (TME) and the preser- vation of sphincter function forthe treatment of patientswith lowrectal cancer.　Methods　42 patientswith lowrec- tal cancer underwent laparoscopic total mesorectal excision (TME) combined with low/ultralow/colo-anal anastomo- sis.　Results　42 cases were successfully completed and no one was converted to open laporotomy.Amean operation time was 125min(110min~210min) while a mean blood losswas 20ml(5ml~8ml).The time of returned bowel func- tion and postoperative diedwas (1-2)days afterthe operation. 18 patients required postoperative analgesic.The aver- age hospitalized day was 8 days (5d~14d) No intraoperative and postoperative complications occurred in all 42 pa- tients.　Conclusions　The laparoscopical total mesorectal excision and low/ultralow colo-anal anastomosis in the treatment of rectal cancer is feasible and has the advantages of safe, effective, dramatically more accurate autonomic nerve preservation, higher retes of sphincter presesrvation and bettermicturitionwith decreased postoperative pain and quicker recovery.

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备注/Memo

备注/Memo:
基金项目：国家杰出青年基金资助项目（批准号：39925032）
更新日期/Last Update: 2014-07-18