目的    探讨外科手套通路经肛门微创手术用于直肠良性肿瘤和早期直肠癌的安全性及有效性。 方法    2013年1~3月首都医科大学附属北京朝阳医院普外科采用环状肛门扩张器、切口牵开保护器和外科手套建立通路，应用常规的腹腔镜设备和器械，进行了6例经肛门微创手术。结果    3例直肠息肉、1例直肠内分泌肿瘤、1例T1期直肠癌行全层切除缝合术；1例直肠多发息肉，行息肉黏膜下切除术。手术平均时间45 min，术中平均出血量10 mL。没有术中并发症发生。病理证实全部病例R0切除。术后第2天出院，随访21d，无明显术后并发症发生。结论    外科手套通路应用常规腹腔镜设备和器械经肛门微创手术经济、安全、有效。

Glove port transanal minimally invasive surgery for rectal tumor        GAO Zhi-gang, YANG Yong, WANG Zhen-jun, et al. Department of General Surgery, Beijing Chaoyang Hospital, Capital University of Medicine, Beijing 100020, China
Corresponding author: WANG Zhen-jun, E-mail:Wang3zj@sohu.com
Abstract    Objective    To evaluate the validity of glove port transanal minimally invasive surgery for rectal benign tumor and early rectal cancer. Methods    From January 2013 to March 2013， 6 cases of transanal minimally invasive surgery (TAMIS) via a ‘glove TEM port’ were performed in Department of General Surgery, Beijing Chaoyang Hospital, Capital University of Medicine. The access device was constructed using a circular anal dilator (CAD), wound retractor and standard surgical glove, along with standard, straight laparoscopic trocars and instruments. Results    Five cases underwent full thickness resection and the incisions were closed with an absorbable continuous suture. One patient underwent non-full thickness resection of rectum polyps. The median operating time was 45min. The average blood lost was 10mL. Pathological analysis proved achieving R0 resection in all cases. All cases were discharged in the second day after operation with no intraoperative morbidity. All cases were followed up for 21 days with no postoperative complication. Conclusion    The glove port TAMIS using conventional laparoscopic equipments and instruments is safe, inexpensive and effective.