Darzi A, Super P, Guillou P J, Monson J R
Academic Surgical Unit, St. Mary's Hospital Medical School, London, United Kingdom.
Dis Colon Rectum. 1994 Mar;37(3):268-71. doi: 10.1007/BF02048165.
Laparoscopic surgery seems set to make a significant impact on the practice of colorectal surgery. However, to date, the majority of surgeons have used a technique of laparoscopic assistance whereby initial laparoscopic mobilization of the bowel is followed by extracorporeal mesenteric and bowel division and subsequent restoration of bowel continuity. This report describes a technique of totally laparoscopic left-sided colonic resection, transanal specimen delivery, and intracorporeal colorectal anastomosis. The technique employed is described in detail and the indications and controversies surrounding such an approach are discussed.
腹腔镜手术似乎注定会对结直肠外科手术的实践产生重大影响。然而，迄今为止，大多数外科医生采用的是腹腔镜辅助技术，即首先通过腹腔镜对肠管进行游离，随后在体外进行肠系膜和肠管离断，接着恢复肠管连续性。本报告描述了一种完全腹腔镜下左侧结肠切除、经肛门标本取出及体内结直肠吻合的技术。详细介绍了所采用的技术，并讨论了围绕这种手术方式的适应证及争议。
