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Kim等人通过对222例低位直肠癌患者分别采取机器人辅助(108例)和开腹(114例)的方法实施完全腹腔括约肌间切除术,以评估完全腹腔括约肌间切除术的可行性,并比较两种方法的近期疗效。结果:2组的淋巴结清扫数目均大于12枚,均未观察到远端切缘阳性,机器人辅助组中有1例环周切缘阳性者,2组总体并发症发病率无差异。另外,开腹组65岁以下的男性患者中~重度性功能障碍的发生率是机器人辅助组的2.7倍(P=0.023),术后6~12个月后的Wexner’s大便失禁量表
Kim et al. Performed complete intraperitoneal sphincterotomy using a robotic-assisted (108 cases) and open (114 cases) methods in 222 patients with low rectal cancer to evaluate the feasibility of total abdominal sphincterotomy. Short-term efficacy of both methods. Results: The number of lymph node dissection in both groups was more than 12, and no distal margin was observed. There was one case with positive peripheral margin in the robot-assisted group, and there was no difference in the overall complication rates between the two groups. In addition, the incidence of ~ severe sexual dysfunction in men under 65 years of age in the open group was 2.7 times more than in the robotic group (P = 0.023), and Wexner’s fecal incontinence scale 6 to 12 months after surgery