Li Ying-Jie, Wang Lin, Sun Ting-Ting, Wu Ai-Wen
Gastrointestinal Cancer Center Unit III, Beijing Cancer Hospital and Beijing Institute for Cancer Research, Beijing 100142, China.
World J Gastrointest Oncol. 2021 Jan 15;13(1):12-23. doi: 10.4251/wjgo.v13.i1.12.
Transanal total mesorectal excision (taTME) is a new technique with many potential technical advantages. Laparoscopy-assisted taTME is a combination of transabdominal taTME and transluminal endoscopic surgery taTME. Laparoscopy-assisted taTME is a combination of techniques such as minimally invasive surgery, intersphincter-assisted resection, natural orifice extraction, ta minimally invasive surgery, and ultralow-level preservation of the anus.
To verify the feasibility and safety of an innovative technique of taTME for treatment of cancer located in the lower rectum.
From January 2016 to March 2018, we attempted to perform laparoscopy-assisted taTME surgery in 24 patients with lower rectal cancer.
The new technique of laparoscopy-assisted taTME was successfully performed in all 24 patients. Mean operating time was 310.0 min and mean intraoperative blood loss was 69.1 mL. The mean time to passing of first flatus was 3.1 d, and mean postoperative hospital stay was 9.2 d. Two patients were given postoperative analgesics due to anal pain. Twenty-three patients were able to walk in first 2 d, and five patients had postoperative complications.
Laparoscopy-assisted taTME is suitable for selected patients with lower rectal cancer, and this technique is worthy of further recommendation.
经肛门全直肠系膜切除术（taTME）是一项具有诸多潜在技术优势的新技术。腹腔镜辅助taTME是经腹taTME与经腔内镜手术taTME的结合。腹腔镜辅助taTME是微创手术、括约肌间辅助切除、自然腔道取标本、ta微创手术以及超低位肛门保留等技术的结合。
验证taTME创新技术治疗低位直肠癌的可行性和安全性。
2016年1月至2018年3月，我们尝试对24例低位直肠癌患者实施腹腔镜辅助taTME手术。
24例患者均成功实施腹腔镜辅助taTME新技术。平均手术时间为310.0分钟，平均术中出血量为69.1毫升。首次排气平均时间为3.1天，术后平均住院时间为9.2天。2例患者因肛门疼痛给予术后镇痛。23例患者在术后第2天即可行走，5例患者出现术后并发症。
腹腔镜辅助taTME适用于部分低位直肠癌患者，该技术值得进一步推广。
