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目的:讨论应用新荷包技术在全腹腔镜下低位直肠癌根治术中的可行性及近期疗效。方法:分析6例应用新荷包技术行全腹腔镜下低位直肠癌根治术患者资料。患者在全腹腔镜下完成全直肠系膜切除术后,将带有缝针的钉座通过靠近上切缘处乙状结肠肠壁切口置入乙状结肠肠腔内,然后将缝针从肠壁穿出,引导钉座杆穿出肠壁,靠近钉座处用直线切闭器切断结肠;远端肠壁连同肿瘤经肛门外翻拉出体外,在直视下行肿瘤下切缘的切割闭合,完成吻合。结果:6例患者手术均顺利完成,无中转开腹;手术时间为(165±21)min,出血(55±12)m L;无吻合口瘘;术后随访未发现肿瘤局部复发及远处转移。结论:新荷包技术应用于全腔镜下直肠癌根治术具有较高的安全性及良好的短期效果,远期疗效有待进一步观察。
Objective: To discuss the feasibility and short-term efficacy of the new pouch technique in total laparoscopic radical rectal cancer radical surgery. Methods: Six cases of patients undergoing total laparoscopic radical resection of rectal cancer undergoing radical nephrectomy were analyzed. Patients underwent total mesorectal excision after total mesorectal excision, the needle seat with a needle near the upper edge of the sigmoid colon incision into the sigmoid colon lumen, and then the needle piercing from the intestinal wall, guide Peg rod piercing the intestinal wall, close to the nail seat with a linear cutter to cut off the colon; distal bowel wall along with the tumor through the anus valgus pulled out of the body, under direct vision under the tumor under the cutting edge of the closure to complete the anastomosis. Results: All the 6 cases were successfully performed without conversion to laparotomy. The operative time was (165 ± 21) min and the bleeding was (55 ± 12) m L. No anastomotic fistula was found. No local recurrence and distant location were found Transfer. Conclusion: The new purse technique applied to endoscopic radical resection of rectal cancer with high safety and good short-term effect, long-term efficacy remains to be further observed.