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目的:探讨经脐单孔腹腔镜腹会阴联合直肠癌切除术的安全性和可行性。方法:为1例低位直肠癌患者行经脐单孔腹腔镜腹会阴联合切除术。于左下腹做1.5 cm切口,建立腹腔镜操作通道并维持气腹完成直肠癌切除术。结果:手术获得成功。手术时间211 min,无出血及造瘘口并发症发生,患者麻醉清醒后即饮水。术后两周复查,脐部无明显手术瘢痕。结论:经脐单孔腹腔镜直肠癌切除术安全可行,但操作难度较常规腹会阴直肠癌联合切除术大,单孔操作装置及手术器械尚待进一步完善、改进,但微创效果明显,极具推广价值,有望成为更有前途的新型腹腔镜技术。
Objective: To investigate the safety and feasibility of single-hole laparoscopic transabdominal perineal resection of rectal cancer. Methods: One case of low rectal cancer patients underwent umbilical single hole laparoscopic abdominal perineal resection. In the left lower abdomen do 1.5 cm incision, the establishment of laparoscopic access and maintain pneumoperitoneum to complete rectal cancer resection. Results: The surgery was successful. Operation time 211 min, no bleeding and complications of ostomy, anesthesia patients wake up drinking water. Two weeks after the review, no obvious surgical scar in the umbilicus. Conclusion: The transumbilical single-hole laparoscopic resection of rectal cancer is safe and feasible, but the operation is more difficult than the conventional abdominal perineal cancer combined resection, single-hole operation device and surgical instruments need to be further improved and improved, but the minimally invasive effect is obvious, the pole With the promotion of value, is expected to become more promising new laparoscopic technology.