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Double laparoscopy assisted cylindrical abdominal-perineal resection for low rectal cancer with 4 cases report.

作者信息

Shen Kexin, Cui Xiaofeng, Xie Zhongshi

机构信息

Department of Gastrointestinal Colorectal and Anal Surgery, China-Japan Union Hospital of Jilin University Changchun, Jilin, P. R. China.

出版信息

Medicine (Baltimore). 2018 Feb;97(8):e9995. doi: 10.1097/MD.0000000000009995.

DOI:10.1097/MD.0000000000009995
PMID:29465604
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5841966/
Abstract

INTRODUCTION

Rectal cancer is a common cancer worldwide. Low rectal cancer exhibits a tendency for recurrence. Surgical resection is an important treatment for rectal cancer. Cylindrical abdominal-perineal resection is suitable for patients with low rectal cancer and has helped improve the prognosis of these patients. However, there are some difficulties during the operation. Especially the perineal area operation cannot be performed under direct vision, which affects the quality of surgical resection. To resolve these constraints, our group designed double laparoscopy assisted cylindrical abdominal-perineal resection for low rectal cancer.

CONCLUSION

The procedure effectively solved these problems and reduced the operation time with no increase in surgery complications.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d55/5841966/49d597eeb28f/medi-97-e9995-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d55/5841966/0864c219505f/medi-97-e9995-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d55/5841966/49d597eeb28f/medi-97-e9995-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d55/5841966/0864c219505f/medi-97-e9995-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d55/5841966/49d597eeb28f/medi-97-e9995-g002.jpg

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A new solution to some old problems: transanal TME.一些老问题的新解决方案：经肛门全直肠系膜切除术
Tech Coloproctol. 2013 Jun;17(3):257-8. doi: 10.1007/s10151-013-0984-0. Epub 2013 Mar 22.
2
Transanal endoscopic proctectomy: an innovative procedure for difficult resection of rectal tumors in men with narrow pelvis.经肛门内镜直肠肿瘤切除术：一种创新性手术，用于骨盆狭窄的男性直肠肿瘤的困难切除。
Dis Colon Rectum. 2013 Apr;56(4):408-15. doi: 10.1097/DCR.0b013e3182756fa0.
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Evidence of the oncologic superiority of cylindrical abdominoperineal excision for low rectal cancer.
柱状腹会阴联合切除术治疗低位直肠癌的肿瘤学优势证据。
J Clin Oncol. 2008 Jul 20;26(21):3517-22. doi: 10.1200/JCO.2007.14.5961. Epub 2008 Jun 9.
4
Extended abdominoperineal resection with gluteus maximus flap reconstruction of the pelvic floor for rectal cancer.扩大经腹会阴切除术联合臀大肌皮瓣重建盆底治疗直肠癌
Br J Surg. 2007 Feb;94(2):232-8. doi: 10.1002/bjs.5489.