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目的:探讨腹腔镜下直肠癌全系膜切除术(TME)的优势及拖出式吻合的实用价值。方法:腹腔镜下TME并经肛门拖出切除并吻合。结果:14例均完全在腹腔镜下完成全系膜游离后拖出肛门外切除并手工吻合。结论:腹腔镜下完成全系膜游离、切除清晰完整,拖出肛门外切除吻合直观、简便。
Objective: To explore the advantages of laparoscopic total mesorectal excision (TME) and the practical value of drag-out anastomosis. Methods: Laparoscopic TME was removed and anastomosed by anus. Results: All the 14 cases were completely laparoscopic complete the entire membrane free and pulled out of the anus and manual anastomosis. Conclusions: The laparoscopic complete mesenchymal dissociation, clear and complete removal, out of the anus anal excision and anastomosis intuitive and easy.