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单孔腹腔镜直肠癌直肠前切除术体会 被引量:5

The operative technique of single incision laparoscopic Dixon operation in the treatment of rectal cancer
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摘要 目的总结我科单孔腹腔镜直肠手术的经验,对该技术的手术操作技巧及特点进行讨论。方法 2010年1月至2011年3月,对患有直肠肿瘤的患者施行单孔腹腔镜直肠前切除术9例。手术采用脐部约3cm切口,在腹壁深部腱膜组织上穿刺放置3枚穿刺套管,直径分别为5mm、10mm和12mm,分别放置腹腔镜和两支操作钳,完全利用脐部单一通道完成全部手术游离及吻合操作。切除病灶经脐部切口或肛门取出。结果 8例顺利完成单孔腹腔镜直肠前切除术,1例在离断低位肠管时增加了一处12mm穿刺切口以便放置切割闭合器。平均手术操作时间202min,术后无出血、吻合口漏和肠梗阻等并发症发生,手术切口无感染、裂口、疝等出现。结论通过细致的操作,单孔腹腔镜直肠前切除术是可行的,并且具有良好的微创与美容效果。 Objective To analyze the operative technique of single access laparoscopic Dixon operation in the treatment of rectal cancer. Methods From January 2010 to March 2011, 9 cases of single incision laparoscopic Dixon operation were performed in the treatment of rectal cancer in our hospital. A 3cm incision was created in umbilicus and 3 trocars were inserted through the aponeurosis tissue on the abdominal wall. The diameter of the trocars were 5 mm, 10 mm and 12 mm. All the process of dissection and anastomosis were performed through the single incision. The rectal tumor was removed through the umbilical incision or through the anus. The clinical data was collected and analyzed. Results Eight cases were performed under single incision condition and one case needs to add one more 12mm incision on the lower abdominal wall in order to put in the stapling device. The average operating time is 202 min. There is no bleeding, intestinal obstruction or anastomosis leakage. No incision infection, dehiscence or hernia was found. Conclusions By carefully operation, single incision laparoscopie Dixon operation is feasible and has satisfactory minimally invasive effect and cosmetic effect.
出处 《中华腔镜外科杂志(电子版)》 2011年第6期5-7,共3页 Chinese Journal of Laparoscopic Surgery(Electronic Edition)
关键词 单孔腹腔镜手术 直肠癌 直肠前切除术 Single access laparoscopic surgery Rectal cancer Dixon operation
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  • 1吴硕东,苏洋,田雨,于晓鹏,韩克.经脐单孔腹腔镜下经肛辅助直肠癌切除术1例报告[J].中国实用外科杂志,2010,30(10):905-906. 被引量:4
  • 2Nicholas A. Rieger,Francis F. Lam.Single-incision laparoscopically assisted colectomy using standard laparoscopic instrumentation[J]. Surgical Endoscopy . 2010 (4)
  • 3Pascal Bucher,Fran?ois Pugin,Philippe Morel.Single port access laparoscopic right hemicolectomy[J]. International Journal of Colorectal Disease . 2008 (10)
  • 4Diana M,,Dhumane P,Cahill RA,et al.Minimal invasive single-site surgery in colorectal procedures:Current state of the art. J Minim Access Surg . 2011
  • 5Braga M,Vignali A,Gianotti L,et al.Laparoscopic versus open colorectal surgery: a randomized trial on short-term outcome. Annals of Surgery . 2002
  • 6CP Delaney,E Chang,AJ Senagore,M Broder.Clinical outcomes and resource utilization associated with laparoscopic and open colectomy using a large national database. Annals of Surgery . 2008
  • 7I Hamzaoglu,T Karahasanoglu,B Baca,A Karatas,E Aytac,AS Kahya.Single-port laparoscopic sphincter-saving mesorectal excision for rectal cancer: report of the first 4 human cases. Archives of Surgery . 2011
  • 8FH Remzi,HT Kirat,J Kaouk.Single-port laparoscopy in colorectal surgery. Colorectal Disease . 2008

二级参考文献6

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同被引文献71

  • 1Lim MS, Melich G, Min BS. Robotic single-incision anterior resec- tion for sigmoid colon cancer: access port creation and operative technique [ J ]. Surg Endosc ,2013,27 ( 3 ) : 1021.
  • 2Hirano Y, Hattori M, Kitamura H,et al. Hybrid single-incision lapa- roscopic sigmoidectomy: the effective use of small incision [ J ]. J Laparoendosc Adv Surg Tech A, 2011,21 (7) :625 -627.
  • 3Saber AA, E1 - Ghazaly TH. Single-incision transumbilieal laparo- scopic right hemicolectomy using SILS Port[ j ]. Am Surg,2011,77 (2) :252 -325.
  • 4原英姿,张冬梅,于婷婷,等.经脐单孔腹腔镜联合经阴道直肠癌根治术的手术配合[J].腹腔镜外科杂忠,201l,16(4):317-318.
  • 5Fujita S, Akasu T, Mizusawa J, et al. Postoperative morbidity and mortality after mesorectal excision with and without lateral lymph node dissection for clinical stage II or stage III lower rectal cancer ( COG0212 ) : results from a muhicentre, randomised controlled, non-inferiority trial Lancet O ncol, 2012,13 ( 6 ) : 616 - 621.
  • 6Nelson H,Petrelli N, Carlin A, et al. Guidelines 2000 for colon and rectal cancer surgery. J Nail Cancer lnst,2001,93 ( 8 ) :583 - 596.
  • 7Kang SB, Park JW, Jeong SY, et al. Open versus laparoscopic surgery for mid or low rectal cancer after neoadjuvant chemoradiotherapy (COREAN trial): short-term outcomes of an open-label randomised controlled trial. Lancet Onco1,2010,11 (7) : 637 - 645.
  • 8Van Gijn W, Marijnen CA, Nagtegaal ID, et al. Preoperative radiotherapy combined with total mesorectal excision for resectable rectal cancer: 12 year follow-up of the muhicentre, randomized controlled TME trial. Lancet Oncol, 2011,12 ( 6 ) :575 - 582.
  • 9Morcos B, Baker B, A1 Masri M, et al. Lymph node yield in rectal cancer surgery: effect of preoperative chemoradiotherapy. Eur J Surg Oncol,2010,36 (4) :345 - 349.
  • 10Fem6ndez-Esparraeh G, Ayuso-Colella JR, Sendino O, et al. EUS and magnetic resonance imaging in the staging of rectal cancer: a prospective and comparative study. Gastrointest Endosc, 2011,74 (1) :347 -354.

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