腹腔镜下直肠癌Dixon手术  

Dixon surgery of rectal carcinoma under laparoscopy:A video introduction

作　　者：宋纯[1] 

机构地区：[1]辽宁省肿瘤医院结直肠外科,沈阳110042

出　　处：《中华普外科手术学杂志（电子版）》2013年第2期62-62,共1页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

基　　金：辽宁省医学高峰建设工程项目(2010077);辽宁省科技攻关项目(2012225004)

摘　　要：手术步骤:肠系膜下动、静脉结扎离断;直肠后壁和右侧壁游离;直肠左侧壁游离;处理直肠系膜,肿瘤远端离断直肠;脐旁穿刺孔稍扩大用于取出标本,离断肿瘤近端乙状结肠,切除肿瘤,置入抵钉帽;乙状结肠直肠端端吻合;使用外科结扎束直接离断肠系膜下静脉,处理乙状结肠系膜,减少分离血管步骤,较少使用血管夹,推进速度较快。在脐部穿刺孔,根据肿瘤大小向上下两个方向延长切口,取出标本。不再另开腹壁切口,进一步减少腹壁创伤。The author introduces the ligature and separation of the arteries and veins below the mesentery and the dissection of the posterior wall of the rectum, the right-side wall, and finally the left-side wall. It is necessary to manage the mesentery while making the distal end of carcinoma separated from the rectum. By enlarging slightly the puncture hole beside the navel in order to take specimens, steps are taken to separate the sigmoid colon close to carcinoma, remove the carcinoma, and imbed the nail head. End-to-end anastomosis of the sigmoid colon and the rectum is made, and then the veins below the mesentery are separated by ligature to manage the mesentery of sigmoid colon. The puncture hole beside the navel should be lengthened vertically to take specimens. Abdominal incision is avoided to reduce trauma on the abdominal wall.

关 键 词：腹腔镜检查 直肠肿瘤 结直肠外科手术 

分 类 号：R735.37[医药卫生—肿瘤]