腹腔镜低位直肠癌保肛手术新进展

应敏刚; 叶青; 黄峰

doi:10.3969/j.issn.1000-8179.20140528

腹腔镜低位直肠癌保肛手术新进展

doi: 10.3969/j.issn.1000-8179.20140528

福建省肿瘤医院胃肠肿瘤外科（福州市 350014）

详细信息

作者简介:
应敏刚教授，主任医师，博士研究生导师，享受国务院特殊津贴。现任福建省肿瘤医院院长、肿瘤研究所所长，福建省癌症中心主任，福建省抗癌协会理事长，福建省医学会肿瘤学分会主任委员，福建省医学会副会长。兼任中国抗癌协会副秘书长，中国抗癌协会肝癌专业委员会副主任委员等职。担任《中华肿瘤杂志》、《中国肿瘤》、《中国肿瘤临床》等期刊编委。承担省级以上科研课题多项，荣获福建省科学技术进步奖二等奖1项、三等奖2项。发表学术论文50多篇，主编《常见恶性肿瘤综合治疗指南与实施》、《福建省胃癌高发现场病因学与流行病学研究》等专著3部

通讯作者:
应敏刚 E-mail:yingmg@163.com

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- 文章访问数: 32
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- 被引次数: 0
出版历程
- 收稿日期: 2014-03-31
- 修回日期: 2014-06-05
- 刊出日期: 2020-12-31

Advances in laparoscopic sphincter-preserving surgery for low rectal cancer

Department of Gastrointestinal Surgery, Fujian Provincial Tumor Hospital, Fuzhou 350014, China

More Information

Corresponding author: Mingang YING;E-mail:yingmg@163.com

摘要

摘要: 低位直肠癌在我国发病率逐年上升，严重威胁着人民的健康。外科手术是低位直肠癌最有效的治疗方法，随着对直肠解剖生理和低位直肠癌生物学特点研究的不断深入，低位直肠癌保肛手术得到越来越广泛的应用，尤其腹腔镜技术的应用已成为当前关注的热点问题之一。腹腔镜低位直肠前切除术、腹腔镜低位直肠前切除术联合经肛门括约肌间切除或经肛门直肠脱出外翻等术式是腹腔镜下低位直肠癌切除保肛手术可选的手术方法。消化道重建可选择双吻合器法、手工经肛结肠肛管吻合以及结肠J型储袋成形吻合等方式。各种术式有其特有的适应范围和优缺点，应以优先保证手术根治同时兼顾生活质量为原则合理选择术式。
- 低位直肠癌 /
- 腹腔镜 /
- 保肛手术
Abstract: The incidence of low rectal cancer, which severely threatens human health, has been increasing annually in China. Surgical operation is the most effective treatment for low rectal cancer. In-depth analyses on the physiology and anatomy of the rectum and the biological characteristics of low rectal cancer have led to the wide application of anus preservation operation as a treatment for this disease. Anus preservation operation is widely used, especially because the application of the laparoscopic technique has recently become a popular topic in colorectal surgery. Alternative laparoscopic sphincter-preserving procedures for this disease include the following: laparoscopic anterior resection; and laparoscopic anterior resection with inter-sphincter resection or with prolapse technique. Colorectal anastomosis with double-stapler technique, hand-sewn coloanal anastomosis, and colonic J-pouch-anal anastomosis are common reconstruction procedures. Each procedure has its own adaptive range, advantages, and disadvantages. Radical surgery must be prioritized, but we should also consider the patients' life quality when selecting a mode of surgery.
- low rectal cancer /
- laparoscope /
- anus-preserving operation

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参考文献(23)

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