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目的探讨微创保肛切除高位直肠类癌的方法及效果。方法2002年8月~2005年1月,我院用自行设计制造的直肠肛门镜与腹腔镜器械配合应用,经肛门切除距肛缘9~12cm的直肠类癌6例,均为癌周局部切除,切缘距肿瘤0.5~1.0cm。结果6例手术全部成功。术后住院时间3~6d,术后未应用镇痛药物。随访3~28个月,平均15个月,无复发或转移,无直肠狭窄,无手术引起的近远期并发症。结论经肛门腹腔镜下高位直肠类癌局部切除术安全,可靠,创伤小,恢复快,治疗费用低廉。
Objective To investigate the method and effect of minimally invasive anus anal resection of high rectal carcinoid. Methods August 2002 ~ January 2005, our hospital with their own design and manufacture of rectal anoscope and laparoscopic instruments with the application of anal resection from the verge of rectal edge of 9 ~ 12cm 6 cases of rectal carcinoid tumor resection , Cutting edge from the tumor 0.5 ~ 1.0cm. Results All 6 cases were successful. Postoperative hospital stay 3 ~ 6d, no postoperative analgesic drugs. All cases were followed up for 3 to 28 months, with an average of 15 months. No recurrence or metastasis, no rectal stenosis, and no immediate or distant complications were found. Conclusions Local laparoscopic resection of high rectal carcinoid tumors is safe, reliable, less traumatic, quicker recovery and lower cost of treatment.