Laparoscopic-assisted natural orifice specimen extraction radical left colectomy
10.3760/cma.j.issn.1671-0274.2015.06.015
- VernacularTitle:采用自制套管器经肛门取出标本的腹腔镜结直肠癌根治术的可行性研究
- Author:
Shifeng ZHANG
1
;
Zhijie DING
;
Xingfeng QIU
;
Sibo YUAN
;
Feng YAN
;
Xinya HONG
;
Jianchun CAI
Author Information
1. 361004,厦门大学附属中山医院胃肠外科 厦门大学医学院胃肠肿瘤研究所
- Keywords:
Colorectal neoplasms;
Laparoscopy;
Cai tube;
Natural orifice specimen extraction
- From:
Chinese Journal of Gastrointestinal Surgery
2015;(6):577-580
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the feasibility of laparoscopic-assisted natural orifice specimen extraction radical left colectomy. Methods Retrospective analysis was performed on clinicopathological dada of 15 colorectal patients who were treated by laparoscopic-assisted anal specimen extraction radical left colectomy with self-developed surgical instrument Cai tube between January and September in 2014. Tumor location included descending colon (n=3), the junction of descending colon and sigmoid colon (n=2), the sigmoid colon (n=6) and upper rectum (n=4). Clinical efficacy of patients was observed. Results There were no perioperative deaths or postoperative complications , such as anastomotic bleeding or leakage. The median operation time was 257 (range 103-337) min, median blood loss was 50(range 20-200) ml, median time to first flatus was 3(range 1-5) d and median hospital stay was 14 (range 11-21) d. All the patients had good quality of life and normal defecation function without tumor recurrence or metastasis after 1-8 months of follow-up. Conclusion Laparoscopic-assisted anal specimen extraction radical left colectomy is safe and feasible.
