机器人经肛切除临床完全缓解的直肠癌一例  

Robotic transanal resection of rectal cancer with clinical complete response:a case report

作　　者：邹贵军[1] 袁新普 马冰[1] 宋舟[1] 黄晓天[1] 曹震 王麦换[1] 张朝军 Zou Guijun;Yuan Xinpu;Ma Bing;Song Zhou;Huang Xiaotian;Cao Zhen;Wang Maihuan;Zhang Chaojun(Department of General Surgery,The First Medical Centre,Chinese PLA General Hospital,Beijing 100853,China)

机构地区：[1]解放军总医院第一医学中心普通外科医学部,北京100853

出　　处：《中华腔镜外科杂志（电子版）》2022年第5期311-314,共4页Chinese Journal of Laparoscopic Surgery(Electronic Edition)

基　　金：国家自然科学基金(81972320)

摘　　要：目的探讨达芬奇机器人经肛局部全层切除术(full-thickness local excision, FTLE)治疗新辅助放化疗(neoadjuvant chemoradiation therapy, NCRT)后临床完全缓解(clinical complete remission, cCR)的直肠癌的安全性和可行性。方法选取NCRT后cCR的直肠癌患者一例,完善术前检查,排除绝对手术禁忌,实施达芬奇机器人经肛FTLE。结果手术顺利,手术时间约180 min,术中出血量约10 ml,术后3 d出院,术后病理分期ypT0N0M0,随访4周无不适。结论达芬奇机器人经肛FTLE治疗NCRT后cCR的直肠癌是安全、可行的,更多证据尚需大规模临床研究。Objective The purpose of this study was to investigate the safety and feasibility of da Vinci robotic transanal full-thickness local excision for rectal cancer with complete clinical remission after neoadjuvant chemoradiotherapy.Methods A patient with rectal cancer who had complete clinical remission after neoadjuvant chemoradiotherapy underwent transanal full-thickness local excision using the da Vinci Si surgical system.Results The operation was successful with a duration of about 180 min and an intraoperative bleeding of about 10 ml. The patient was discharged 3 days later. The postoperative pathological stage was ypT0N0M0.Conclusions It is safe and feasible to treat rectal cancer with complete clinical remission after neoadjuvant chemoradiotherapy by transanal full-thickness local excision using the da Vinci Si surgical system. More evidence is needed in large-scale clinical studies.

关 键 词：Da Vinci机器人手术 经肛局部全层切除术 新辅助放化疗 临床完全缓解 直肠癌 

分 类 号：R73[医药卫生—肿瘤]