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经肛门单孔手术用于直肠肿瘤的局部切除

[Transanal single-port surgery for local excision of rectal tumours].

作者信息

Stommel Martijn W J, Velthuis Simone, van den Boezem Peter, Sietses Colin

机构信息

Ziekenhuis Gelderse Vallei, afd. Heelkunde, Ede, the Netherlands.

出版信息

Ned Tijdschr Geneeskd. 2012;156(33):A4889.

Abstract

Transanal endoscopic microsurgery (TEM) is the technique of choice for rectum-preserving treatment of rectal tumours. However, the instruments are relatively expensive and TEM is a highly-complex technique. From 2010 a few case reports describing a new technique for local excision of rectal tumours using a single-access laparoscopic port have appeared. These single-access ports are flexible multichannel ports for transumbilical laparoscopic surgery. Even though not developed for transanal use these ports are ideal because of their shape and the material they are made from. Transanal surgery using a single-access port is a relatively simple procedure and does not require any investment in new instruments. This new technique will enable more surgeons to carry out transanal endoscopic surgery.

摘要

经肛门内镜显微手术(TEM)是保留直肠治疗直肠肿瘤的首选技术。然而,该器械相对昂贵,且TEM是一项高度复杂的技术。自2010年以来,出现了一些病例报告,描述了一种使用单通道腹腔镜端口进行直肠肿瘤局部切除的新技术。这些单通道端口是用于经脐腹腔镜手术的柔性多通道端口。尽管并非为经肛门使用而开发,但由于其形状和材质,这些端口非常理想。使用单通道端口进行经肛门手术是一个相对简单的操作,不需要对新器械进行任何投资。这项新技术将使更多外科医生能够开展经肛门内镜手术。

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