Combined transanal total mesorectal excision (taTME) with laparoscopic instruments and abdominal robotic surgery in rectal cancer
Combined transanal total mesorectal excision (taTME) with laparoscopic instruments and abdominal robotic surgery in rectal cancer
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DOI：
10.1007/s10151-017-1597-9
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发表时间：
2017-03-01
影响因子：
3.3
通讯作者：
Lacy, A. M.
中科院分区：
文献类型：
--
作者：
Bravo, R.;Trepanier, J. -S.;Lacy, A. M.
直肠癌的腹腔镜手术在技术上可能是具有挑战性的。我们描述了一种结合腹部机器人解剖和经肛门全直肠系膜切除术的混合技术。这项手术是在一位50岁男性直肠腺癌患者身上进行的，距离齿状突起5厘米。术前分期为T2N0M0。手术很顺利，没有并发症，估计失血量不到50毫升。机器人手术时间90min，总手术时间160min。患者于术后第3天出院。病理分析显示直肠系膜完整(TME分级3级)，T2N0肿瘤边缘阴性。机器人盆腔解剖加经肛门全直肠系膜切除术是一种可行、快速、安全的手术方法，有可能进一步发展。
Laparoscopic surgery for rectal cancer can be technically challenging. We describe a hybrid technique combining abdominal robotic dissection and transanal total mesorectal excision. This procedure was performed in a 50-year-old man with rectal adenocarcinoma at 5 cm from the dentate lane. Preoperative staging was T2N0M0. Surgery went well without complications, and estimated blood loss was less than 50 mL. Robotic surgical time was 90 min, and total operative time was 160 min. The patient was discharged on postoperative day 3. Pathology analysis revealed an intact mesorectum (TME grade 3) and a T2N0 tumor with negative margins. Hybrid surgery with pelvic robotic dissection and transanal total mesorectal excision was feasible, quick and safe in this patient and may be a method that can be developed further.