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直肠癌在胃肠道肿瘤中发病率排名第二,调查统计显示结直肠癌患者年龄在40岁以上的偏多,且男性患者数量相对于女性患者翻倍,[1]随着医疗水平的提高微创手术的广泛开展,腹腔镜手术在结直肠癌外科中得到了快速发展,其中腹腔镜直肠癌根治手术经过20余年的改进,伴随腔内切割闭合器超声刀等医疗器械进入临床,其应用也越来越广泛,技术越来越成熟,其手术安全性可行性远期疗效及根治性也逐渐得到认可,现将腹腔镜直肠癌根治术同传统开腹根治术比较做一综述。
The incidence of rectal cancer in gastrointestinal tumors ranked second, survey statistics show that patients with colorectal cancer over the age of 40 and more, and the number of male patients doubled relative to female patients, [1] as the medical level increased Extensive minimally invasive surgery, laparoscopic surgery in colorectal surgery has been rapid development, of which laparoscopic radical resection of the rectum after more than 20 years of improvement, with endovascular closure of the ultrasonic knife and other medical devices into the clinical application of its More and more extensive, more and more mature technology, the long-term efficacy and radical surgical safety feasibility has gradually been recognized, now the laparoscopic radical resection of radical resection of laparotomy with radical resection done a review.