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目的探讨腹腔镜低位直肠癌根治保肛术的可行性和安全性。方法回顾性分析接受该方法手术的106例患者病历资料。结果全程无手术死亡,无中转开腹,手术皆顺利完成,术中用电钩、双极电凝钳,手术时间(170±36)min,出血(75±20)ml,无术中副损伤,肿瘤距肛缘最近为3.5cm,肛门排气时间平均48h,住院时间平均8d,随访62～4月,无复发。结论完全腹腔镜低位直肠癌根治保肛术是安全可行的,更利于保肛,易受广大患者接受。
Objective To investigate the feasibility and safety of anal sphincter preservation in laparoscopic low rectal cancer. Methods Retrospective analysis of 106 cases of patients receiving the method of surgery medical records. Results There was no operative death, no transit and laparotomy, and the operation was completed successfully. The intraoperative hooks and bipolar coagulation pliers were operated successfully. The operation time (170 ± 36) min, hemorrhage (75 ± 20) ml, , The tumor from the anal verge of the recent 3.5cm, anus, the average time of 48h exhaust, hospitalization an average of 8d, followed up 62 ~ April, no recurrence. Conclusion Complete laparoscopic radical rectal cancer preservation of anal surgery is safe and feasible, more conducive to anal sphincter, susceptible to the majority of patients.