三孔腹腔镜直肠前切除经自然腔道取出标本手术的实践  

Practice of three ports laproscopic anterior rectectomy via natural orifice specimen extraction surgery

作　　者：郑燕生[1] 李金 王伟[1] 熊文俊[1] 黄海鹏 罗立杰[1] 崔梓铭 Zheng Yansheng;Li Jin;Wang Wei;Xiong Wenjun;Huang Haipeng;Luo Lijie;Cui Ziming(Department of Gastroenterology, Guangdong Province Hospital of Traditional Chinese Medicin, Guangzhou 510000, China)

机构地区：[1]广东省中医院胃肠外科,广州510000

出　　处：《中华腔镜外科杂志（电子版）》2021年第6期338-342,共5页Chinese Journal of Laparoscopic Surgery(Electronic Edition)

基　　金：广东省中医院临床研究专项(YN10101911)。

摘　　要：目的探索三孔腹腔镜直肠前切除经自然腔道取标本手术(three ports laproscopic anterior rectectomy via natural orifice specimen extraction surgery,TLAR-NOSES)的可行性和手术技巧。方法回顾性分析2020年1月至2021年6月期间于广东省中医院胃肠外科接受降结肠癌、乙状结肠癌、直肠癌行TLAR-NOSES患者的临床病理资料,分析术后转归。结果共11例患者接受TLAR-NOSES,男4例、女7例,平均年龄(56.27±15.13)岁,平均手术时间(203.27±57.16)min,平均术中出血量(60.00±30.98)ml,平均住院时间(6.82±3.62)d。术后并发症患者1例,为B级腹腔感染。结论TLAR-NOSES安全、可行,对部分分期较早、肿瘤较小的患者,采取TLAR-NOSES可达到更微创效果。Objective To explore the feasibility of three ports laproscopic anterior rectectomy via natural orifice specimen extraction surgery(TLAR-NOSES)and surgical technique.Methods The clinicopathological data of patients undergoing TLAR-NOSES for sigmoid colon and rectal cancer in the Department of Gastrointestinal Surgery of Guangdong Provincial Traditional Chinese Medicine Hospital from Jan.2020 to Jun.2021 were retrospectively analyzed,and postoperative regression was analyzed.Results A total of 11 patients underwent TLAR-NOSES surgery.There were 4 males and 7 females,with a mean age of(56.27±15.13)years.The mean operative time was(203.27±57.16)min,the mean bleeding volume was(60.00±30.98)ml,and the mean hospital stay was(6.82±3.62)days.There was one patient with postoperative complications,which was grade B abdominal infection.Conclusions The TLAR-NOSES procedure is safe and feasible,and a more minimally invasive result can be achieved in some patients with early staging and a small tumour by adopting such a procedure.

关 键 词：三孔腹腔镜 直肠前切除 经自然腔道取出标本手术 结直肠癌 

分 类 号：R73[医药卫生—肿瘤]