• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Surgical Endoscopy >Restorative proctectomy with colon pouch-anal anastomosis by laparoscopic transanal pull-through: an available option for low rectal cancer?
【24h】

Restorative proctectomy with colon pouch-anal anastomosis by laparoscopic transanal pull-through: an available option for low rectal cancer?

机译：通过腹腔镜经肛门穿刺术进行结肠直肠肛门肛门吻合术的直肠切除术：低位直肠癌的可用选择？

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND: There are sporadic reports, with different verdicts, of restorative proctectomy by laparoscopic transanal pull-through (LTPT) without the use of a minilaparotomy for a part of the procedure. This study aimed to explore the applicability and advantages of LTPT with colon pouch-anal anastomosis for low rectal cancer, and to evaluate the results. METHODS: From January 2002 to July 2003, 10 of 12 patients (6 men and 4 women) undergoing a laparoscopic procedure for low rectal cancer (<6 cm from the anal verge) underwent LTPT. The mean age of these patients was 58 years. The results have been compared with those for 12 similar non-pull-through procedures performed during the same period. RESULTS: There was no operative mortality. An anastomotic leakage and a hemorrhagic gastropathy occurred in the LTPT group. During a mean follow-up period of 18 months (range, 12-26 months), there was no local relapse. Four patients manifested moderate incontinence. No significant differences in functional outcome were observed between the LTPT and control groups. CONCLUSION: The authors' experience supports use of the LTPT procedure with colonic pouch-anal anastomosis for selected lower rectal cancers with indications for a laparoscopic approach as an appropriate and reproducible surgical treatment.
机译：背景：有零星的报道，不同的结论是，通过腹腔镜经肛门穿刺（LTPT）进行的修复性直肠切除术并未在部分手术中使用小型剖腹术。这项研究旨在探讨LTPT结肠袋肛门吻合术在低位直肠癌中的适用性和优势，并评估结果。方法：从2002年1月至2003年7月，对12例接受腹腔镜手术治疗低位直肠癌（距肛门边缘小于6厘米）的患者（其中6例男性和4例女性）中的10例进行了LTPT。这些患者的平均年龄为58岁。将结果与同期进行的12种类似的非拉过程序的结果进行了比较。结果：无手术死亡。 LTPT组发生了吻合口漏和出血性胃病。在平均18个月（12-26个月）的随访期间，没有局部复发。 4例患者表现为中度失禁。 LTPT组和对照组之间在功能结局方面未见明显差异。结论：作者的经验支持将LTPT手术与结肠袋肛门吻合术用于某些下段直肠癌，并建议采用腹腔镜方法作为适当且可重复的手术治疗。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号