Double Tunnel Separation Technique in Laparoscopic Radical Resection for Rectal Carcinoma
10.3969/j.issn.1009-6604.2015.03.020
- VernacularTitle:双隧道分离技术在腹腔镜直肠癌根治术中的应用
- Author:
Xiaoping YANG
;
Ping WANG
- Publication Type:Journal Article
- Keywords:
Double tunnel separation technique;
Rectal cancer;
Laparoscopy
- From:
Chinese Journal of Minimally Invasive Surgery
2015;(3):263-265
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the value of double tunnel separation technique in the application of laparoscopic radical resection for rectal carcinoma. Methods A retrospective analysis of clinical data of 67 cases of laparoscopic radical resection for rectal carcinoma from September 2010 to July 2014 was made.There were 37 cases of Miles operation and 30 cases of Dixon operation, with laparoscopic double tunnel separation technique which refered to under the sigmoid colon mesentery space and under the mesorectum space. Results All cases of laparoscopic radical resection were completed.The duration of operation was 100-240 min, with an average of 158 min.The intraoperative blood loss was 50-200 ml, with an average of 110 ml.The hospitalization time was 8-15 d, with an average of 10 d.Complications included postoperative anastomotic leakage in 1 case, small intestinal obstruction induced by intestine pelvic adhesion in 1 case, and lower extremity deep venous thrombosis in 1 case, all of which were cured with conservative treatment. Conclusions Double tunnel separation technique in laparoscopic radical resection is helpful to application of total mesorectal excision, thus effectively protects blood vessels, nerves, and ureters.Meanwhile, the lymph nodes and extranodal tumor deposits can be cleaned to the greatest degree.
