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目的探讨中、低位直肠癌保留肛门括约肌功能的理想术式。方法对早、中期低位直肠癌5例,采用腹腔镜辅助经肛外翻式直肠癌切除术资料分析。结果全组腹腔镜手术均顺利,无手术死亡,无中转开腹。肿瘤远端切缘均为阴性。平均随访6.8个月,无局部复发,无肝脏转移,均无瘤生存。术后1例发生吻合口狭窄。术后平均住院时间11(9～14)d。结论在严格掌握手术适应证的条件下,腹腔镜辅助经肛外翻式直肠癌切除术是治疗早、中期低位直肠癌的一种经济、可靠的手术方式,其远期疗效尚有待于进一步观察。
Objective To explore the ideal technique for preserving anal sphincter function in low and middle rectal cancer. Methods Early and mid-stage low rectal cancer in 5 cases, the use of laparoscopic-assisted anal valgus rectal cancer resection data analysis. Results All patients underwent laparoscopic surgery without any surgical death and no laparotomy. Tumor distal margin were negative. The average follow-up of 6.8 months, no local recurrence, no liver metastasis, no tumor-free survival. Anastomotic stenosis occurred in 1 case after operation. The average postoperative hospital stay 11 (9 ~ 14) d. Conclusions Laparoscopic assisted transvaginal rectal cancer resection is an economical and reliable surgical method for early and mid-stage low rectal cancer under the condition of strict indications of surgical indications. The long-term therapeutic effect remains to be further observed .