经肛门微创手术治疗良性和恶性直肠肿瘤。

Transanal minimally invasive surgery for benign and malignant rectal neoplasia.

作者信息

McLemore Elisabeth C, Weston Lynn A, Coker Alisa M, Jacobsen Garth R, Talamini Mark A, Horgan Santiago, Ramamoorthy Sonia L

机构信息

Department of Surgery, University of California, San Diego, CA, USA.

Department of Surgery, Scripps Health Systems, San Diego, CA, USA.

出版信息

Am J Surg. 2014 Sep;208(3):372-81. doi: 10.1016/j.amjsurg.2014.01.006. Epub 2014 Apr 1.

DOI:10.1016/j.amjsurg.2014.01.006

PMID:24832238

Abstract

BACKGROUND

Transanal minimally invasive surgery (TAMIS), an alternative technique to transanal endoscopic microsurgery, was developed in 2009. Herein, we describe our initial experience using TAMIS for benign and malignant rectal neoplasia.

METHODS

This is an institutional review board approved, retrospective case series report.

RESULTS

TAMIS was performed in 32 patients for rectal adenoma (13), adenocarcinoma (16), and carcinoid (3). There were 14 women, with mean age 62 ± 15 years and body mass index 28 ± 5 kg/m(2). Lesion size ranged from .5 to 8.5 cm, distance from the dentate line 1 to 11 cm, and circumference of the lesion 10% to 100%. The mean operative time was 123 ± 62 minutes. Mean hospital length of stay was 2.5 ± 2 days. Complications included urinary tract infection (1), Clostridium difficile diarrhea (1), atrial fibrillation (1), rectal stenosis (1), and rectal bleeding (1).

CONCLUSION

TAMIS using a disposable transanal access platform is a safe and effective method to remove rectal lesions in this case series.

摘要

背景

经肛门微创手术（TAMIS）是经肛门内镜显微手术的一种替代技术，于2009年开发。在此，我们描述了我们使用TAMIS治疗良性和恶性直肠肿瘤的初步经验。

方法

这是一份经机构审查委员会批准的回顾性病例系列报告。

结果

32例患者接受了TAMIS手术，其中直肠腺瘤13例、腺癌16例、类癌3例。女性14例，平均年龄62±15岁，体重指数28±5kg/m²。病变大小为0.5至8.5cm，距齿状线距离为1至11cm，病变周长为10%至100%。平均手术时间为123±62分钟。平均住院时间为2.5±2天。并发症包括尿路感染（1例）、艰难梭菌性腹泻（1例）、心房颤动（1例）、直肠狭窄（1例）和直肠出血（1例）。