Abstract：Objective To observe the effect of percutaneous transanal assisted total mesorectal excision (TME) in patients with moderate-low rectal cancer. Methods From June 2016 to June 2018, 45 cases of moderate-low rectal cancer patients admitted to the General Surgery People′s Hospital of Baise were selected and divided into two groups by the random number table method. There were 20 patients in the observation group and 25 patients in the control group. The control group was treated with conventional laparoscopic TME, and the observation group was treated with self-made platform laparoscopic transanal approach and transabdominal TME. The surgically related indicators and rectal surgical specimens were compared in the two groups. Treatment-related costs of the two groups were compared. Follow-up statistics and comparison of postoperative complications, recurrences, and deaths were compared and compared in the two groups. Results There was no significant difference in operation time, length of rectum resection, length of distal tumor resection margin, number of lymph node dissection, mesenteric integrity and negative rate of resection margin between the two groups (P ＞ 0.05). Intraoperative blood loss in the observation group was less than that in the control group, the incidence of complications was lower than that in the control group, and the time of anal exhaust and hospital stay were shorter than that in the control group, with statistically significant differences (P ＜ 0.05). The costs of operation and hospitalization in the observation group were significantly lower than those in the control group, with statistically significant differences (P ＜ 0.05). Two cases were lost to follow-up in the two groups, and the follow-up period was 3 months to 2 years. No recurrence or death occurred in the two groups during the follow-up period. Conclusion Compared with laparoscopic TME in the treatment of middle and low rectal cancer under self-made platform endoscopy, TME through anal assisted approach has similar operation time and surgical resection of rectum, but the former has many advantages, such as small intraoperative blood loss, fast postoperative recovery, low cost and few complications, and is worthy of promotion.
王运成 翟刚 岑川. 自制平台腔镜下经肛辅助入路全直肠系膜切除术在中低位直肠癌患者中的应用效果[J]. 中国医药导报, 2019, 16(17): 109-112,128.
WANG Yuncheng ZHAI Gang QIN Chuan. Application of self-made laparoscopic transanal assisted total mesorectal excision in patients with middle and low rectal cancer. 中国医药导报, 2019, 16(17): 109-112,128.
2019, Vol. 16 
京公网安备 11010502046598号