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为评估直肠癌腹腔镜超低位前切除(LAR)和腹腔镜经肛拖出切除结肛吻合术(LPT)后的功能性效果。Hiranyakas A等选取了2007年1月至2008年12月期间的40例因直肠癌而进行腹腔镜手术的患者进行研究,其中21例在LAR组,19例在LPT组。2组的肿瘤特征、辅助疗法方案、平时随访时间、手术时间、术中失血量、直肠系膜切缘、中转开腹率、疼痛评分、回肠造口恢复正常时间、失禁评分及并发症发生率比较差异均无统计学意义。但良性吻合口狭窄在LPT组更高,此与放化疗方案
To assess the functional outcome of laparoscopic ultra-low anterior resection (LAR) and laparoscopic transanal pull-out of anastomosed anal anastomosis (LPT). Hiranyakas A and colleagues selected 40 patients undergoing laparoscopic surgery for rectal cancer between January 2007 and December 2008, 21 in the LAR group and 19 in the LPT group. Tumor characteristics, adjuvant therapy regimen, normal follow-up time, operative time, intraoperative blood loss, mesorectal excision, transit laparotomy, pain scores, normal time of ileostomy, incontinence score and complication rates were compared between the two groups The difference was not statistically significant. However, benign anastomotic stenosis was higher in the LPT group compared with radiotherapy and chemotherapy regimens