Takayama Satoru, Takahashi Hiroki, Takeyama Hiromitsu
Department of Gastroenterological Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Aichi, Japan.
Surg Laparosc Endosc Percutan Tech. 2011 Apr;21(2):e104-6. doi: 10.1097/SLE.0b013e31820df955.
Laparoscopic colectomy is performed widely all around the world, and some institutions perform more laparoscopic operations than conventional open operations. Although this surgical technique is performed recently, an operative wound formed during the surgery is large and is not easily remedied. Thus, a certain sized skin incision is required to remove the resected colon. Here, we report the case of a pure laparoscopic sigmoidectomy, which involves transanal specimen extraction.
We present a case characterized by a large adenoma of the sigmoid colon. We performed pure laparoscopic sigmoidectomy, and the resected specimen was removed transanally. Intracorporeal anastomosis was then performed using a circular stapling device.
Although the patient had slight numbness of the right upper extremity, and the patient was discharged because no other complications were noted.
Laparoscopic colectomy performed with minimal incision could essentially increase the usage of this surgical technique. Our method is feasible for minimization of operative invasion because it involves specimen extraction through a natural orifice.
腹腔镜结肠切除术在全球范围内广泛开展，一些机构进行的腹腔镜手术比传统开放手术更多。尽管这种手术技术是最近才开展的，但手术过程中形成的手术切口较大且不易修复。因此，需要一定大小的皮肤切口来取出切除的结肠。在此，我们报告一例纯腹腔镜乙状结肠切除术病例，该手术涉及经肛门取出标本。
我们呈现一例以乙状结肠巨大腺瘤为特征的病例。我们进行了纯腹腔镜乙状结肠切除术，并经肛门取出切除的标本。然后使用圆形吻合器进行体内吻合。
尽管患者右上肢有轻微麻木，但未发现其他并发症，患者已出院。
采用最小切口进行腹腔镜结肠切除术可从根本上增加该手术技术的应用。我们的方法对于将手术侵袭降至最低是可行的，因为它涉及通过自然腔道取出标本。
