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单孔腹腔镜辅助经肛门全直肠系膜切除临床应用价值及展望

康    亮,陈文豪蔡永华罗双灵张兴伟胡焕新汪建平   

  1. 中山大学附属第六医院结直肠外科,广东广州 510282
  • 出版日期:2016-01-01 发布日期:2015-12-31

  • Online:2016-01-01 Published:2015-12-31

摘要:

经肛门全直肠系膜切除(TaTME)已成为近年来直肠癌手术领域的新热点。由于该新兴技术尚未完全成熟,目前,绝大多数的TaTME均需在腹腔镜辅助下方能完成。出于完全单孔腹腔镜直肠癌手术技术难度大以及传统多孔腹腔镜辅助的TaTME微创优势不明显的考虑,在预定回肠造口位置引入单孔腹腔镜进行辅助的TaTME术式被认为可实现技术难度、微创和手术切除质量三者间的最佳平衡。

关键词: 单孔腹腔镜, 经肛门全直肠系膜切除, 低位直肠癌

Abstract:

Clinical application and prospect of single-port laparoscopic assisted transanal total mesorectal excision            KANG Liang, CHEN Wen-hao, CAI Yong-hua, et al, Department of Colorectal Surgery, the Sixth Affiliated Hospital, Sun Yat-Sen Universiry, Guangzhou 510282, China
Corresponding author: WANG Jian-ping. E-mail: wangjpgz@126.com
Abstract    Transanal total mesorectal excision (TaTME) has become one of the hottest spots in the field of colorectal surgery. Due to technical bottleneck, currently the majority of TaTME cases are performed in a hybrid approach--assisted by laparoscopic assistance. However, given the fact that pure single-port laparoscopic rectal cancer surgery is difficult to accomplish and the fact that TaTME assisted by multi-ports laparoscopic surgery has no more mini-invasive advantages, the combination of TaTME and single-port laparoscopic surgery which placed trocar in the planned ileostomy site is assumed to achieve the maximal balance of mini-invasiveness, operative difficulty and resection quality.

Key words: single-port laparoscopic , transanal total mesorectal excision, low rectal cancer