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

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