摘要
目的 探讨Da Vinci机器人系统辅助经肛全直肠系膜切除术的可行性及安全性。
方法 报道重庆第三军医大学附属大坪医院胃肠外科于2017年5月31日进行的1例因低位直肠癌行Da Vinci机器人系统辅助经肛全直肠系膜切除、乙状结肠肛管吻合、回肠保护性造口手术患者的临床资料。
结果 63岁男性患者，体质指数19.1 kg/m2，直肠肿瘤距离肛缘4 cm，4 cm × 4 cm × 3 cm大小，中分化腺癌，肿瘤分期cT3N2M0，新辅助治疗后降期为ycT2N0M0。手术成功完成，手术时间250 min，术中出血量约100 ml，无术中相关并发症；术后未出现吻合口瘘、腹腔出血、肠梗阻或盆腔感染等并发症。术后病理结果提示，直肠系膜切除完整，环周切缘及远近肠段切缘均未见癌组织。结论 机器人系统应用于经肛全直肠系膜切除手术治疗直肠癌安全、可行。
Objective To explore the availability of Da Vinci robotic-assisted transanal total mesorectal excision （taTME） for lower rectal cancer, which have been regarded as challenging situations in rectal cancer surgery.
Methods The medical records of a patient who underwent robotic-assisted transanal total mesorectal excision, coloanal anastomosis and ileostomy for lower rectal cancer on May 31st 2017 were reported.
Results The case was a sixty-three year-old male patient with a body mass index of 19.1 kg/m2. Preoperative examinations showed the tumor size was 4 cm×4 cm×3 cm. With a distance from the anal verge of 4 cm.The tumor was moderately differentiated and staged as cT3N2M0.taTME was performed successfully and the patient recovered quickly without any complications. The histological report showed a complete mesorectal excision with freee distal and circumferential margins.
Conclusion Robotic-assisted taTME is available. Robotics may help to overcome technical difficulties.
出处
《中华胃肠外科杂志》
CAS
CSCD
北大核心
2017年第8期900-903,共4页
Chinese Journal of Gastrointestinal Surgery
基金
国家自然科学基金项目（81270461,81570483）
重庆市自然科学基金重点项目（cstc2013jjB10025）
第三军医大学临床创新课题（2014YLC04）
