摘要
目的讨论经肛门微创外科手术治疗直肠癌的疗效及病例筛选。方法收集福建医科大学附属第一医院胃肠外科2009年11月至2012年12月收治的32例行经肛门微创外科手术的直肠癌患者的临床资料。结果本组患者无手术死亡;术后出现暂时性肛门排气或排液态便失禁12例,发生较严重并发症3例。1例盆腔脓肿,2例肛门出血;平均随访25个月,2例复发,其中T1期复发1例,复发率9.09%,T2期复发1例,复发率20.00%,总复发率6.25%。结论经肛门微创外科手术是治疗早期直肠癌的手术方式之一,病例筛选至关重要。
Objective To evaluate the therapetic effect of transanal endoscopic microsurgery in the treatment of rectal cancer and how to screen cases. Methods Clinical data of 32 patients with rectal cancer treated by transanal endoscopic mierosurgery between November 2011 and December 2012 were collected and analyzed retrospectively. Results No operative deaths in this group; Anal incontinence in 12 patients after operation. Serious complications in 3 patients,one was Pelvic abscess,and the other two were Anal bleeding;Follow-UP checkups in the 32 patients for mean 25 months revealed 2 case recurrence.Recurrence rate was 9.09% in T1,and 20.00% in T2.The tatal Recurrence rate was 6.25%.Conclusions Transanal endoscopic microsurgery is one of the operation methods for early rectal cancer, and how to screen cases is very important.
出处
《中国医药指南》
2013年第25期299-299,301,共2页
Guide of China Medicine
基金
福建省科技计划项目(2012D014)
关键词
直肠癌
肛门内镜
显微手术
Rectal cancer
Transanal endoscopy
Micrographic surgery
