中国肿瘤外科杂志2026，Vol.18Issue(2)：172-177,6.DOI:10.3969/j.issn.1674-4136.2026.02.011
基于"主桅杆"牵拉下的机器人辅助直肠前切除术(NOSES-Ⅳ式)
Robot-assisted anterior resection of the rectum based on the"main mast"traction(NOSES-Ⅳ type)
摘要
Abstract
This article systematically explores the application of robot-assisted anterior resection(NOSES-Ⅳ type)in the treatment of high rectal cancer,with a focus on introducing the"main mast"traction technique.This surgical method fully utilizes the high-definition vision and flexible operation characteristics of the robotic surgical system,constructing a stable surgical field through the"main mast"traction technique,thereby achieving precise anatomical dissection,lymph nodes dissection,and specimen retrieval via natural orifices.The article details key technical aspects such as the selection of surgical position,puncture hole layout,tissue dissection steps,specimen retrieval methods,and digestive tract reconstruction,and summarizes postoperative management and follow-up results.This technique helps improve the safety of the surgery,the radicality of the tumor,and the effectiveness of minimally invasive surgery,providing important references for the standardization and promotion of the NOSES-Ⅳ surgical method.关键词
机器人手术/NOSES/直肠前切除术/主桅杆牵拉技术/经自然腔道取标本手术Key words
Robot-assisted surgery/NOSES/Anterior resection of the rectum/Main mast traction technique/Natural orifice specimen extraction surgery引用本文复制引用
刘炜,付海啸,张轩,李腾腾,刘浩,王凯,符炜..基于"主桅杆"牵拉下的机器人辅助直肠前切除术(NOSES-Ⅳ式)[J].中国肿瘤外科杂志,2026,18(2):172-177,6.基金项目
江苏省高校重点实验室开放研究课题(XZSYSKF2024004) （XZSYSKF2024004）
徐州市科技计划资助(KC25066) （KC25066）
徐州医科大学附属医院院级课题(2021ZA06) （2021ZA06）
