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目的:讨论经肛门拖出标本的腹腔镜直肠癌根治术的可行性及近期疗效。方法:应用标本经肛门拖出技术行直肠癌根治术10例,腹部无切口。结果:10例手术顺利完成。手术平均时间为(165±32)min,术中平均出血量为(15±9)m L。术后平均排气时间为(32±10)h,平均住院时间为(12±3)d,肠系膜淋巴结平均检出数为(15±4)枚,吻合口漏1例,无腹腔感染等并发症。结论:经肛门拖出标本的腹腔镜直肠癌根治术具有较高的安全性和良好的短期疗效,远期效果还需进一步观察。
OBJECTIVE: To discuss the feasibility and short-term efficacy of laparoscopic radical resection of the rectum by pulling anus through the anus. Methods: Ten cases of rectal cancer underwent radical resection via the anus, and no incision was made in the abdomen. Results: 10 cases were successfully completed. The average operation time was (165 ± 32) min and the mean intraoperative blood loss was (15 ± 9) m L. The average time of postoperative exhaust was (32 ± 10) h, the average length of hospital stay was (12 ± 3) d, the mean number of mesenteric lymph nodes was (15 ± 4), anastomotic leakage was 1 case without abdominal infection disease. Conclusion: Laparoscopic radical resection of the rectum through the anus has high safety and good short-term curative effect. The long-term effect needs to be further observed.