A novel incisionless laparoscopic technique for the surgical treatment of colorectal tumor
- VernacularTitle:无辅助切口腹腔镜技术治疗结直肠肿瘤
- Author:
Jiahua LENG
;
Ji ZHANG
;
Xiangqian SU
;
Ming CUI
;
Chunyi HAO
- Publication Type:Journal Article
- Keywords:
Neoplasm,colorectal;
Colorectal surgery;
Laparoscopy
- From:
Chinese Journal of General Surgery
2008;23(12):956-959
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the feasibility of a novel incisionless laparoscopic technique in the treatment of colorectal tumor, and evaluate the preliminary clinical result of this technique. Methods The clinical data of 12 consecutive resected specimens of high located rectal or sigmoid tumor removed by traditional laparoscopic surgery were analyzed to probe the indication of this technique and the first 2 cases received incisionless laparoscopic anterior resection. Postoperative follow up was made to evaluate the clinical feasibilities. Results Among 12 explanted fresh specimens there were 1 adenoma and 3 adenocarcinoma cases in which the key steps of the new technique were successfully demonstrated. In two cases, the bowel above the tumor was cut and the distal end was inverted and pulled through the anus laparoscopically, the tumor along with the bowel resected, the stump pushed hack, and intralumen sigmoidproctostomy fashioned. In these two patients, one of sigmoid cancer and one of large rectal adenoma with focal canceration, the mean operation time was 200 min, mean blood lose was 50 ml, mean bowel function recovery time was 1.5 days. After 13 and 15 respective months fullow up there was no complications nor tumor recurrence. Conclusions Ineisionless laparoscopic surgery, while in line with tumor free principles, has the advantage of safety, cost-effectiveness and being cosmetic in selected cases.
