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目的:评价腹腔镜辅助下经肛门柱状切除联合乙状结肠腹膜外造口治疗低位直肠癌的临床疗效.方法:回顾、总结武汉市第一医院于2013-01/2015-02对25例低位直肠癌患者运用腹腔镜辅助下经肛门柱状切除联合乙状结肠腹膜外造口的临床资料.结果:25例均顺利完成手术,手术时间162.5min±35.6 min,术中出血55.5 m L±26.8 m L,术后平均1.2 d±0.5 d,2例患者会阴切口脂肪液化感染,经换药愈合,随访24例,随访时间3-36 mo,平均时间25 mo,无复发病例.结论:腹腔镜辅助下经肛门柱状切除联合乙状结肠腹膜外造口具有操作可行、并发症少、复发率低、近期疗效满意,是针对低位直肠癌较好的治疗方法.
Objective: To evaluate the clinical effect of laparoscopic assisted resection of the anus with sigmoid colon extraperitoneal stoma for the treatment of low rectal cancer.Methods: To review and summarize the clinical data of 25 patients with low rectal cancer treated by First Affiliated Hospital of Wuhan City from January 2013 to February 2015 Laparoscopic assisted resection of colorectal resection combined with sigmoid colon extraperitoneal ostomy clinical data.Results: 25 cases were successfully completed the operation, the operation time 162.5min ± 35.6min, intraoperative bleeding 55.5ml L ± 26.8ml, postoperative average 1.2 d ± 0.5 d, 2 patients with perineal incision fat liquefaction infection, after dressing change, followed up 24 cases, followed up for 3-36 months, with an average of 25 months without recurrence.Conclusion: Laparoscopic assisted resection of the anus by columnar Combined sigmoid colon extraperitoneal ostomy with feasible, less complications, low recurrence rate, the recent satisfactory results, is a good treatment for low rectal cancer.