关键词: 腹腔镜手术, 全解肠系膜切除术, 低位直肠癌

Abstract: 【Abstract】〓Objective〓To summarize the experience in laparoscopic total mesorectal excision (LTME) for the treatment of low rectal cancer. Methods〓From March 2007 to June 2012, 100 cases with low rectal cancer were analyzed retrospectively..These patients were randomly divided into laparoscopic group and laparotomy group..Among them, 50 cases underwent LTME,.and 50 cases underwent laparotomy total mesorectal excision..The intraoperative blood loss,.operation time, postoperative passing flatus time, postoperative hospitalization time, dissected number of lymph nodes total hospitalization cost and follow-up results were compared between two groups..Results〓In the intraoperative blood loss,.operation time,.postoperative passing flatus time,.postoperative hospitalization time,.the laparoscopic group was less than that laparotomy group (P<0.05). In the dissected number of lymph nodes,.the total hospitalization cost and the distance from tumor's low margin to distal rectum excising end,.there were no difference between two groups..In the postoperative complications and postoperative recurrence the laparoscopic group was lower than that laparotomy group (P<0.05). Conclusion〓Compared with the laparoscopic total mesorectal excision group and open total mesorectal excision group for the treatment of low rectal cancer, the long-term curative effects are similar between two groups..But,.the former group is better than that the latter group in the reducing injury and promoting postoperative recovery of patients.

Key words: Laparoscopic surgery, Total mesorectal excision, Low rectal cancer