经肛门内镜下微创手术治疗中高位直肠良恶性肿瘤的临床应用

doi:10.3969/j.issn.1009-976X.2013.04.017

岭南现代临床外科 ›› 2013, Vol. 13 ›› Issue (04): 326-328.DOI: 10.3969/j.issn.1009-976X.2013.04.017

经肛门内镜下微创手术治疗中高位直肠良恶性肿瘤的临床应用

冯家立陈小伍剧永乐朱达坚陆光生

佛山市顺德区第一人民医院

通讯作者: 冯家立

Application of transanal endoscopic operation for treatment of middle-high position rectal benign and malignant neoplasm

Feng Jiali, Chen Xiaowu, Ju Yongle, Zhu Dajian, Lu Guangsheng

Received:2013-03-18 Revised:2013-07-01 Online:2013-08-20 Published:2013-08-20

摘要/Abstract

摘要：

【摘要】目的探讨经肛门内镜下微创手术(TEO/ TEM)治疗中高位直肠良恶性肿瘤的应用效果。方法回顾性分析佛山市顺德区第一人民医院2012年1月至2012年12月期间21例经肛门内镜微创手术病人的临床资料。结果 21例病人均成功完成经肛门内镜微创手术。平均手术时间为85(40~120)min。术后病理: 腺瘤14例, 腺癌5例, 类癌1例,间质瘤1例。术后平均住院时间为4(2~10)d。并发症方面:3例术后有肛门内出血,2例术后有急性尿潴留,1例术后有暂时性排便失禁感,1例术后有低热。结论 TEO可以被用于中高位直肠良性肿瘤和早期直肠癌的彻底切除,是一项值得推广的安全、有效的微创外科技术。

关键词: 经肛门内镜微创手术, 直肠肿瘤, 局部切除

Abstract:

【Abstract】 Objective To study the curative effect of transanal endoscopic operation/ microsurgery(TEO/TEM)on middle-high position benign and malignant rectal tumors. Methods The data of 21 patients undergoing transanal endoscopic operation from January 2012 to December 2012 in The First Hospital of Foshan Shunde were analyzed retrospectively. Results Transanal endoscopic operations were successfully performed in all the patients. The average operative time was 85(40~120) min. The histologic diagnosis indicated 14 adenomas, 5 carcinomas, 1 carcinoids, 1 interstitialoma. The average hospital stay after transanal endoscopic operation was 4 (2~10) days. Postoperative complications included rectal bleeding (n=3), acute retention of urine (n=2) fecalincontinence (n=1) and low fever (n=1). Conclusion Transanal endoscopic operation may be the preferred method in patients with middle-high position benign and malignant rectal tumors, and is a safe and feasible technique.

Key words: Transanal endoscopic minimally invasive surgery, Rectal neoplasms, Local excision

中图分类号:

R657.1

冯家立陈小伍剧永乐朱达坚陆光生. 经肛门内镜下微创手术治疗中高位直肠良恶性肿瘤的临床应用[J]. 岭南现代临床外科, 2013, 13(04): 326-328.

Feng Jiali, Chen Xiaowu, Ju Yongle, Zhu Dajian, Lu Guangsheng. Application of transanal endoscopic operation for treatment of middle-high position rectal benign and malignant neoplasm[J]. Lingnan Modern Clinics in Surgery, 2013, 13(04): 326-328.

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经肛门内镜下微创手术治疗中高位直肠良恶性肿瘤的临床应用

Application of transanal endoscopic operation for treatment of middle-high position rectal benign and malignant neoplasm

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