关键词: 机器人手术, 腹腔镜, 全直肠系膜切除, 膜解剖

Abstract:

Technique of robotic total mesorectal excision        CHI Pan. Department of Colorectal Surgery，Fujian Medical University Union Hospital，Fuzhou 350001，China
Abstract    The main technique differences between robotic and laparoscopic total mesorectal excision are the methods of the exposure and use of electronic devices during operation. Based on surgical membrane anatomy theory, the main technique includes entrying to the left retrocolic space through medial approach, dissection in the rectal posterior space，dissection in the pre-rectal space, and dissection in the bilateral-rectal space. The anterior layer of Denonvilliers' fascia should be cutted off at 0.5-1.0 centimeters distal to the bottom level of the seminal vesicle glands. The rectal lumen should be washed out around levator hiatal.

Key words: robotic surgery；laparoscopy, total mesorectal excision；membrane anatomy