蔡锐文+梁伟成+黄冀华+梁华艳+黄开劲+李旭清

【摘要】 目的：探讨完全腹腔镜直肠癌保肛手术治疗直肠癌的效果。方法：选取2016年1月-2017年

1月本院收治的直肠癌患者88例，按照随机数字表法将其分为对照组和观察组，每组各44例。对照组采用腹腔镜辅助保肛手术，观察组采用完全腹腔镜保肛手术，比较两组手术情况和术后恢复情况。结果：两组手术治疗时间、术中出血量、术后腹腔引流血量及并发症发生率比较，差异均无统计学意义（P>0.05）；治疗后，观察组的进食时间、肛门排气时间及术后住院时间均较对照组更短，比较差异均有统计学意义（P<0.05）。结论：完全腹腔镜直肠保肛术治疗直肠癌的效果显著，可促进患者的疾病康复，同时不会增加并发症的发生，值得在临床上进一步推广应用。

【关键词】 直肠癌； 腹腔镜； 保肛手术

【Abstract】 Objective：To investigate the effect of totally laparoscopic colorectal anus protecting surgery in treatment of rectal cancer.Method：88 cases of rectal cancer were treated in our hospital from January 2016 to January 2017 were selected，according to random number table method，they were divided into control group and observation group，44 cases in each group.The control group received laparoscopic assisted anus protecting surgery，and observation group received totally laparoscopic colorectal anus protecting surgery.The operation conditions and postoperative recovery conditions of two groups were compared.Result：The operation time，intraoperative blood loss，postoperative intraperitoneal drainage and the incidence of complications of two groups were compared，the differences were not statistically significant（P>0.05）；after the surgery，the postoperative eating time，anal exhaust time，and postoperative hospitalization time in observation group were significantly shorter than those of control group（P<0.05）.Conclusion：Totally laparoscopic colorectal anus protecting surgery is effective for the treatment of rectal cancer，which can promote the postoperative rehabilitation and will not increase the incidence of complications，it is worthy of further popularization and application in clinic.

【Key words】 Rectal cancer； Laparoscopic； Anus protecting surgery

First-authors address：Gaozhou Peoples Hospital of Guangdong Province，Gaozhou 525200，China

doi：10.3969/j.issn.1674-4985.2017.31.033

直腸癌在临床上具有较高的发病率，其属于消化系统恶性肿瘤，中低位直肠癌为其主要类型[1-2]。临床上对直肠癌进行治疗的主要方式为手术切除治疗，而在手术治疗的多种方式中，直肠全系膜切除术为“金标准”，这是由于该手术治疗方法可对肿瘤进行有效切除，同时也可使肛门括约肌功能得以有效保留，从而使患者的性功能以及排尿功能得以有效保留[3-6]。随着医疗仪器的不断发展，腹腔镜在临床上的应用率不断提高[7-9]，临床上在对中低位直肠癌进行治疗时，腹腔镜全直肠系膜切除术应用范围不断扩大，并取得了不错的临床疗效[10-12]。本研究选取2016年1月-2017年1月本院收治的直肠癌患者88例，探讨完全腹腔镜直肠癌保肛手术治疗直肠癌的实践与评估，现报道如下。

1 资料与方法

1.1 一般资料 选取2016年1月-2017年1月本院收治的直肠癌患者88例，患者病情均经临床病理检查确诊。其肿……