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目的探讨经自然腔道标本取出腹腔镜直肠癌根治术的治疗效果。方法直肠癌35例应用经自然腔道标本取出(NOSE)技术,完成腹腔镜直肠癌低位前切除术。分析其临床资料、术后排气时间、淋巴结清扫数目、吻合口瘘发生率等。结果 35例均行腹腔镜直肠癌根治术,低位保肛成功,未行预防性横结肠造口术,其中,NOSE腹腔镜直肠癌根治术成功率为85.71%(30/35),手术时间为105~186分钟(平均时间为129.50分钟)。肛门排气时间为22~80小时(平均为38.13小时)。术后住院时间为9~21天(平均10.27天)。1例发生吻合口瘘,2例发生穿刺口感染。结论经自然腔道标本取出的腹腔镜直肠癌根治术治疗中低位直肠癌效果安全、可靠。
Objective To investigate the effect of laparoscopic radical resection of laparoscopic radical mastectomy through natural cavity specimens. Methods 35 cases of rectal cancer by natural natural ablation (NOSE) technology to complete the low-lying anterior resection of laparoscopic rectal cancer. Analysis of clinical data, postoperative exhaust time, the number of lymph node dissection, the incidence of anastomotic fistula. Results All the 35 cases underwent laparoscopic radical resection of rectal cancer with low anal sphincter preservation and no preventive transverse colostomy. Among them, the success rate of radical nephrectomy with NOSE was 85.71% (30/35) and the operation time was 105 ~ 186 minutes (average time is 129.50 minutes). Anal exhaust time is 22 to 80 hours (an average of 38.13 hours). The postoperative hospital stay was 9 to 21 days (mean, 10.27 days). One case had anastomotic fistula and two cases had puncture infection. Conclusions The laparoscopic radical resection of the rectum with natural cavity specimens for the treatment of low and middle rectal cancer is safe and reliable.