Zhou H T, Su H, Zhou Z X, Liu Q, Liang J W, Shan Y, Pei W, Wang Z, Wang P, Shi L, Wang X S
Department of colorectal Surgery, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing 100021, China.
Zhonghua Zhong Liu Za Zhi. 2018 Mar 23;40(3):206-210. doi: 10.3760/cma.j.issn.0253-3766.2018.03.009.
To study the feasibility, safety and short-term efficacy of total laparoscopic rectal cancer surgery with transanal natural orifice specimen extraction and resection. From May 2014 to March 2016, 17 patients with rectal carcinoma were treated by total laparoscopic rectal cancer surgery with transanal natural orifice specimen extraction and resection. The clinical data of these patients was collected and retrospectively analyzed to assess the impact of the operation on postoperative recovery time and the incidence of complications. All operations had been successfully accomplished without conversion to open surgery or conversional laparoscopic-assisted surgery . The median operative time was 105 minutes. The median blood loss was 35 ml. The median proximal and distal margin of tumor is 16 cm and 3.5 cm. The median number of lymph nodes harvest is 21, and the median first bowl movement is 43 hours. The hospitalization after operation is 8 days. No patient underwent abdomen hemorrhage or anastomotic leakage. Laparoscopic rectal cancer surgery with transanal natural orifice specimen extraction and resection appears to be feasible, safe and with promising efficacy for selected patients.
研究经肛门自然腔道标本取出与切除的全腹腔镜直肠癌手术的可行性、安全性及短期疗效。2014年5月至2016年3月，对17例直肠癌患者行全腹腔镜直肠癌手术并经肛门自然腔道标本取出与切除。收集这些患者的临床资料并进行回顾性分析，以评估手术对术后恢复时间及并发症发生率的影响。所有手术均成功完成，未中转开腹或转为腹腔镜辅助手术。中位手术时间为105分钟。中位失血量为35毫升。肿瘤近端和远端切缘的中位距离分别为16厘米和3.5厘米。中位淋巴结清扫数目为21枚，首次排气的中位时间为43小时。术后住院时间为8天。无患者发生腹腔出血或吻合口漏。经肛门自然腔道标本取出与切除的腹腔镜直肠癌手术对特定患者似乎可行、安全且疗效可期。
