Laparoscopic Partial or Subtotal Intersphincteric Resection for Lower Rectal Cancer

摘要

目的：探讨腹腔镜部分或次全内括约肌切除术治疗超低位直肠癌的可行性。
　　方法：收集2013年1月至2014年2月胃肠外科腹腔镜部分或次全内括约肌切除术治疗35例超低位直肠癌的临床资料，分析腹腔镜部分或次全内括约肌切除术在超低位直肠癌的临床应用效果。
　　结果：所有患者均无围手术期死亡，1例术后一周出现吻合口部分裂开，1例术后12d出现吻合口瘘，均经保守治疗痊愈。随访6～54个月，有1例局部复发。所有患者术后6个月肛门功能Kirwan分级1-2级，有1例患者出现吻合口狭窄，需要定期扩展。
　　结论：腹腔镜部分或次全内括约肌切除术治疗超低位直肠癌是一种安全可行的手术方式。

目录

声明

摘要

ABSTRACT

Catalogue

1．Chapter

1．INTROD UCTION

2．ANATOMY

2．1 ANATOMY OF THE LOWER RECTUM

2．2 BLOOD SUPPLY AND LYMPHATICS

2．3 TISSUES AND NERVES AND MUSCLES

2．4 PATHOPHYSIOLOGIC VARIANTS

2．5 THE SPHINCTER MECHANISM

2．6 CLINICAL ANATOMICAL LANDMARKS

3．RECTAL CANCER

3．1 COLORECTAL CANCER TYPES

3．2 TYPES OF COLORECTAL CANCER

4．RISK FACTOR

5．SYMPTOMS

5．1 LATE SYMPTOMS

6．TREATMENT

6．1 TREATMENT FOR RECTAL CANCER

6．2 PREOPERATIVE TREATMENT OF RECTAL CANCER WITH COHORT STUDY

6．3 MINIMALLY INVASIVE COLORECTAL SURGERY WITH NEAR-INFRARED (NIR) PERFUSION ANGIoGRAPHY

6．4 ROBOTIC SURGERY FOR RECTAL CANCER

6．5 LAPARoSCOPIC INTERPSHINCTERIC RESECTION COMBINED WITH TRANSANAL RECTAL DISSECTION FOR T3 LOW RECTAL CANCER

6．6 RECTAL CANCER AND LAPAROSCOPY

7．SURGICAL APPROACHES AND TECHNIQUES

7．1 SURGICAL APPROACHES

7．2 REVIEW OF SURGICAL ANATOMY OF THE LOWER RECTUM

7．3 TECHNIQUES FOR RESECTION OF LOW RECTAL CANCER

8．COMPLICATIONS

Chapter 2

1．INTRODUCTION

2．MATERIALS AND METHODS

2．1 GENERAL INFROMATION

2．2 OPERATIVE METHODS

3．RESULTS

3．1 PERIOPERATIVE CASE

3．2 PATHOLOGICAL

3．3 THE POSTOPERATIVE FOLLOW-UP

4．DlSCUSSION

REFERENCE

CONCLUSION

ABBREVIATIONS

PUBLICATIONS

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