腹腔镜下荧光导航低位直肠癌内括约肌切除联合右侧方淋巴结清扫术(NOSES Ⅰ式G法+侧方淋巴结标本经直肠取出术)(附视频)  

Fluorescence-guided laparoscopic intersphincteric resection combined with right lateral lymph node dissection for low rectal cancer(NOSES TypeⅠG with transrectal extraction of lateral lymph node specimens)

作　　者：唐彬 梅世文 邱文龙 汤坚强 王锡山 Tang Bin;Mei Shiwen;Qiu Wenlong;Tang Jianqiang;Wang Xishan(Department of Colorectal Surgery,National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100021,China)

机构地区：[1]国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院结直肠外科,北京100021

出　　处：《中华结直肠疾病电子杂志》2022年第6期525-528,共4页Chinese Journal of Colorectal Diseases(Electronic Edition)

基　　金：吴阶平医学基金会临床科研专项资助基金课题(320.6750.2021-04-2)。

摘　　要：随着外科技术的发展,腹腔镜手术已经成为直肠癌的重要治疗手段。在保证肿瘤根治性、改善患者预后的前提下,如何进一步减少手术创伤、降低手术并发症发生率、提高保肛率、加快术后康复是腹腔镜直肠癌手术发展的重点。经自然腔道取标本手术(NOSES)作为一种新兴技术,具有创伤小、恢复快、美容效果好等优点。本手术展示了NOSES I式G法在低位直肠癌中的应用,并联合应用了荧光导航技术、内括约肌切除术、侧方淋巴结清扫术等技术,兼顾了根治、微创以及保肛等目标。With the development of surgical techniques, laparoscopic surgery has become a critical treatment for rectal cancer. Besides ensuring the radical removal of tumor to improve the prognosis, it's also important to reduce the surgical trauma, decrease the incidence of complications, improve the anal preservation rate, and accelerate the postoperative recovery. As a new technique, natural orifice specimen extraction surgery (NOSES) has the advantages of less trauma, faster recovery, and better cosmetic effect. In this article, we present a case of NOSES type IG for low rectal cancer, with the application of fluorescence navigation technology, intersphincteric resection and lateral lymph node dissection, giving consideration to the goals of radical removal, minimally invasive, and anus preservation.

关 键 词：直肠肿瘤 荧光成像 内括约肌切除术 侧方淋巴结清扫 经自然腔道取标本手术(NOSES) 

分 类 号：R735.37[医药卫生—肿瘤]