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《Journal of Abdominal Surgery》 2008-01
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Laparoscopic sphincter-saving resection for ultra-low rectal carcinomas

LIANG Guo-jian,HONG Chu-yuan,CHEN De,et al.Department of Gastrointestinal Surgery,Second Affiliated Hospital of Guangzhou Medical College,Guangzhou 510260,China  
Objective To investigate the clinical application of laparoscopic sphincter-saving resection in ultra-low rectal carcinomas.Methods Twenty-one cases of ultra-low rectal cancers undergoing laparoscopic sphincter resection were analyzed.Results The mean operative time was(200±40)min.Average intraoperative blood loss was(40±10)ml.Intraoperative anastomotic stomal leakage occurred in 1 case,postoperative stomal leakage in 2 cases,stoma stenosis in 2 cases,postoperative bleeding in 4 cases,pelvic infection in 4 cases.Patients were followed up for 5~50 months.Defaecation function restored in 6 months in patiens subject to Dixon's surgery and 9 months in those to coloanal anastomoses.No local recurrence was found.Two cases had liver metastasis.Conclusion Laparoscopic sphincter-saving resection for ultra-low rectal cancer is feasible,and is a good choice for patients with ealy stage and well-differentiated cancers.
【Fund】: 广州市科技攻关计划研究基金立项项目(2005Z3-E0581)
【CateGory Index】: R735.37
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