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经阴道入路直肠肿瘤切除术二例 被引量:50

Transvaginal endoscopic resection of rectal tumor: a report of 2 cases
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摘要 报告2例女性患者经阴道人路进行直肠肿瘤切除术即经自然腔道内镜手术(NOTES)的经过和术后情况。2例患者均为直肠肿瘤,先后于2010年6月8日和2010年8月10日实施NOTES直肠肿瘤切除。手术除脐部这一天然皱褶外,在腹部未使用辅助Trocar,术中使用常规腹腔镜器械,术后腹部无可见的瘢痕。病理诊断分别为直肠管状绒毛状腺瘤和直肠浸润型中分化腺癌。目前,2例患者均已恢复正常工作和生活,夫妻双方性生活均无不适感。 Tow female patients with rectal tumor undergoing proctectomy via vagina, namely natural orifice transluminal endoscopic surgery (NOTES), are reported. The operations were performed on June 8 and August 10, 2010, respectively. No Trocar was used in the abdomen except for the transumbilical incision. There were no visible scars in the abdomen. Tubulovillous adenoma and moderately differentiated adenocarcinoma were diagnosed respectively through postoperative pathological examination. Both patients resumed normal work and life at the most recent follow up. Sexual life was satisfactory.
出处 《中华胃肠外科杂志》 CAS 北大核心 2011年第5期325-326,共2页 Chinese Journal of Gastrointestinal Surgery
关键词 直肠肿瘤 经自然腔道内镜手术 Rectal neoplasms Natural orifice transluminal endoscopic surgery
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参考文献5

  • 1Tomikawa M,Xu H,Hashizume M.Current status and prerequisites for natural orifice translumenal endoscopic surgery (NOTES).Surg Today,2010,40(10):909-916.
  • 2Marescaux J,Dallemagne B,Perretta S,et al.Surgery without scars:report of transluminal cholecystectomy in a human being.Arch Surg,2007,142(9):823-826.
  • 3Lacy AM,Delgado S,Rojas OA,et al.MA-NOS radical sigmoidectomy:report of a transvaginal resection in the human.Surg Endosc,2008,22(7):1717-1723.
  • 4Burghardt J,Federlein M,Müler V,et al.Minimal invasive transvaginal right hemicolectomy:report of the first complex NOS (natural orifice surgery) bowels operation using a hybrid approach.Zentralbl Chir,2008,133(6):574-576.
  • 5Meining A,Feussner H,Swain P,et al.Natural-orifice transluminal endoscopic surgery (NOTES) in Europe:summary of the working group reports of the Euro-NOTES meeting 2010.Endoscopy,2011,43 (2):140-143.

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