Pai Vishwas D, Bhandare Manish, Saklani Avanish P
Department of Surgical Oncology, Tata Memorial Centre , Mumbai, India .
J Laparoendosc Adv Surg Tech A. 2016 Mar;26(3):209-12. doi: 10.1089/lap.2015.0445. Epub 2016 Feb 12.
Complete surgical resection remains the primary goal of rectal cancer surgeries. However, in 10%-20% patients, rectal tumors invade adjacent pelvic organs and resection of such organs is essential to achieve an R0 resection. Seminal vesicle is the most commonly involved organ in males. Although laparoscopic surgery has been found to be safe and feasible for rectal cancer surgeries, multivisceral resection is considered complex, and hence majority of these patients are offered open surgical resection. However, with improved surgical expertise as well as better laparoscopic equipment, surgeons have been attempting more complex rectal surgeries through the laparoscopic approach. We are delineating the technical details as well as initial results of laparoscopic total mesorectal excision with enbloc resection of seminal vesicle.
完整的手术切除仍然是直肠癌手术的主要目标。然而，10%-20%的患者中，直肠肿瘤侵犯相邻盆腔器官，切除这些器官对于实现R0切除至关重要。精囊是男性中最常受累的器官。尽管腹腔镜手术已被证明对直肠癌手术是安全可行的，但多脏器切除被认为较为复杂，因此大多数此类患者接受开放手术切除。然而，随着手术技术的提高以及腹腔镜设备的改进，外科医生一直在尝试通过腹腔镜途径进行更复杂的直肠手术。我们正在描述腹腔镜全直肠系膜切除联合精囊整块切除的技术细节及初步结果。
