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手套通路经肛门微创手术治疗直肠肿瘤临床研究

高志刚 杨勇 王振军 魏广辉

中国实用外科杂志2013,Vol.33Issue(8):680-682,3.
中国实用外科杂志2013,Vol.33Issue(8):680-682,3.

手套通路经肛门微创手术治疗直肠肿瘤临床研究

Glove port transanal minimally invasive surgery for rectal tumor

高志刚 1杨勇 1王振军 1魏广辉1

作者信息

  • 1. 首都医科大学附属北京朝阳医院普外科,北京100020
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摘要

Abstract

Objective To evaluate the validity of glove port transanal minimally invasive surgery for rectal benign tumor and early rectal cancer.Methods From January 2013 to March 2013,6 cases of transanal minimally invasive surgery (TAMIS) via a ‘ glove TEM port' were performed in Department of General Surgery,Beijing Chaoyang Hospital,Capital University of Medicine.The access device was constructed using a circular anal dilator (CAD),wound retractor and standard surgical glove,along with standard,straight laparoscopic trocars and instruments.Results Five cases underwent full thickness resection and the incisions were closed with an absorbable continuous suture.One patient underwent non-full thickness resection of rectum polyps.The median operating time was 45min.The average blood lost was 10mL.Pathological analysis proved achieving R0 resection in all cases.All cases were discharged in the second day after operation with no intraoperative morbidity.All cases were followed up for 21 days with no postoperative complication.Conclusion The glove port TAMIS using conventional laparoscopic equipments and instruments is safe,inexpensive and effective.

关键词

外科手套通路/经肛门微创手术/经肛门内镜微创手术/直肠肿瘤

Key words

glove port/ transanal minimally invasive surge/ transanal endoscopic microsurgery/ rectal tumor

分类

医药卫生

引用本文复制引用

高志刚,杨勇,王振军,魏广辉..手套通路经肛门微创手术治疗直肠肿瘤临床研究[J].中国实用外科杂志,2013,33(8):680-682,3.

中国实用外科杂志

OA北大核心CSCDCSTPCD

1005-2208

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