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目的探讨经肛门内镜显微手术(TEM)在直肠肿瘤手术中的应用价值。方法分析总结山东大学附属千佛山医院2006年5月至2007年5月间内收治的42例TEM病人,其中31例良性肿瘤11例恶性肿瘤。结果42例TEM,其中41例获得了肿瘤的完整切除,1例不完整切除直肠腺瘤(T0期)31例有1例复发,复发率3.2%,直肠癌10例中复发1例,复发率10%;随访过程中无死亡病例。结论TEM是一项值得推广的安全、有效的微创外科技术,TEM可以被用于良性直肠肿瘤和早期直肠癌的彻底切除。
Objective To investigate the value of transanal endoscopic microsurgery (TEM) in rectal cancer surgery. Methods Forty-two TEM patients admitted to Qianfoshan Hospital Affiliated to Shandong University from May 2006 to May 2007 were enrolled in this study, of which 31 cases were benign and 11 were malignant. RESULTS: Twenty-four patients underwent TEM, of which 41 achieved complete resection of the tumor. One patient underwent incomplete resection of the rectal adenoma (stage T0), with a recurrence of 31%, a recurrence of 3.2%, and a rectal recurrence of 10 10%; no deaths during follow-up. Conclusion TEM is a safe and effective minimally invasive surgical technique worthy of promotion. TEM can be used for the complete resection of benign and early rectal cancers.