腹部无辅助切口经肛门取标本的腹腔镜下直肠癌根治术一例(附视频)  

A case of laparoscopic radical resection of rectal cancer trans-anal specimen extraction

作　　者：孙鹏 陈瑛罡 Sun Peng;Chen Yinggang(Department of Gastrointestinal Surgery,National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital Shenzhen Hospital.Chinese Academy of Medical Sciences and Peking Union Medical College,Shenzhen 518116,China)

机构地区：[1]中国医学科学院肿瘤医院深圳医院胃肠外科,518116

出　　处：《中华结直肠疾病电子杂志》2024年第4期347-352,共6页Chinese Journal of Colorectal Diseases(Electronic Edition)

基　　金：深圳市‘医疗卫生三名工程’项目(SZSM201911012)。

摘　　要：直肠癌作为一种常见的消化道恶性肿瘤,手术是治疗的主要方法.随着腹腔镜和达芬奇机器人等设备和技术的应用,手术创伤更小,但仍需要在腹壁做辅助切口用于标本取出和抵钉座放置.腹部无辅助切口经自然腔道取标本手术(NOSES)是一种理念先进的微创技术,在避免腹部辅助切口的情况下,利用自然腔道进行胃肠手术标本的取出,并完成完全腹腔镜肠道吻合.这种技术尤其在直肠癌治疗领域中展示出显著的临床优势,包括减少术后疼痛、缩短住院时间、避免瘢痕以及提高患者的生活质量等.本文描述了1例腹部无辅助切口经肛门外翻切除标本的腹腔镜下直肠癌根治术(CRC NOSES I式B法)的病例,并对该术式的可行性和技术要点进行讨论.Rectal cancer is a common malignant tumor of digestive tract.Operation is the main treatment method.The surgery brings less invasive with the use of equipment and technology such as laparoscopy and the Da Vinci robot,but still requires an auxiliary incision in the abdominal wall for specimen extraction and the placement of the anvil.The natural orifice specimen extraction(NOSES)procedure is an advanced minimally invasive surgical technique that uses the natural orifice to remove gastrointestinal specimens and complete laparoscopic enterostomy.This technique has demonstrated significant clinical advantages,particularly in the treatment of rectal cancer,including reduced postoperative pain,shorter hospital stays,avoidance of scarring,and improved the quality of patient's life.This paper describes a case of laparoscopic radical rectal cancer resection without auxiliary abdominal incision(CRC NOSES I B),and discusses the feasibility and technical points of this procedure.

关 键 词：直肠肿瘤 腹腔镜手术 无辅助切口 经自然腔道取标本手术 

分 类 号：R735.37[医药卫生—肿瘤]