Department of Abdominal Surgery, University Hospital Gasthuisberg, Leuven, Belgium.
Colorectal Dis. 2011 Nov;13 Suppl 7:28-31. doi: 10.1111/j.1463-1318.2011.02773.x.
Ultralow anterior resection with coloanal anastomosis has been proven to be oncologically sound and the majority of patients will have acceptable functional outcome. Here we describe a technique that combines laparoscopic ultralow total mesorectal excision with an intersphincteric dissection in order to allow the mobilized rectum and descending colon to be extracted via the muscular anal canal and so avoid any further abdominal incision other than laparoscopic port sites. We believe this novel approach to have significant clinical potential in selected patients.
经证实，超低位前切除术联合结肠肛管吻合术在肿瘤学上是合理的，大多数患者将获得可接受的功能结果。在这里，我们描述了一种结合腹腔镜超低位直肠全系膜切除术和肛门内外括约肌间切除术的技术，以便可以通过肛门肌管取出游离的直肠和降结肠，从而避免除腹腔镜端口外的任何进一步的腹部切口。我们认为这种新方法对某些患者具有重要的临床潜力。
