经肛门内镜微创手术治疗升结肠癌。
Pure transanal endoscopic colectomy for ascending colon cancer.
机构信息
Department of Colorectal Surgery, The Sixth Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong, People's Republic of China.
Guangdong Institute of Gastroenterology, The Sixth Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong, People's Republic of China.
出版信息
Tech Coloproctol. 2020 Nov;24(11):1207-1211. doi: 10.1007/s10151-020-02271-0. Epub 2020 Jun 24.
BACKGROUND
Previous studies have demonstrated that pure transanal endoscopic surgery is safe and feasible in the treatment of rectal cancer. However, the role of pure transanal endoscopic colectomy in ascending colon cancer (ACC) treatment has not been evaluated. We report a case of transanal endoscopic surgery for ACC.
METHODS
A 35-year-old woman was treated for ACC, using a transanal endoscopic surgery device as the operation platform, and pure transanal endoscopic right hemicolectomy without transabdominal assistance was safely performed. An instrument suture, side-to-side, ileocolic anastomosis was performed. Operative time was 245 min and intraoperative blood loss was 60 ml.
RESULTS
The patient recovered well from the surgery. Compared with the traditional approach, this approach was less invasive and resulted in satisfactory outcomes and cosmesis (no scar).
CONCLUSIONS
Application of pure transanal endoscopic colectomy without abdominal assistance to ACC appears to be feasible and safe.
背景
既往研究表明，经肛门内镜微创手术治疗直肠癌是安全且可行的。然而，经肛门内镜结肠切除术治疗升结肠癌（ACC）的作用尚未得到评估。我们报告了一例经肛门内镜微创手术治疗 ACC 的病例。
方法
采用经肛门内镜手术设备作为手术平台，为一名 35 岁女性患者治疗 ACC，安全地完成了无需经腹辅助的纯经肛门内镜右半结肠切除术。采用器械吻合、侧侧吻合、回肠结肠吻合。手术时间为 245 分钟，术中出血量为 60 毫升。
结果
患者术后恢复良好。与传统方法相比，该方法创伤更小，且获得了令人满意的结果和美容效果（无疤痕）。
结论
无腹部辅助的纯经肛门内镜结肠切除术应用于 ACC 似乎是可行且安全的。
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