单孔腹腔镜直肠癌直肠前切除术体会

目的总结我科单孔腹腔镜直肠手术的经验，对该技术的手术操作技巧及特点进行讨论。方法2010年1月至2011年3月，对患有直肠肿瘤的患者施行单孔腹腔镜直肠前切除术9例。手术采用脐部约3cm切口，在腹壁深部腱膜组织上穿刺放置3枚穿刺套管，直径分别为5mm、10mm和12mm，分别放置腹腔镜和两支操作钳，完全利用脐部单一通道完成全部手术游离及吻合操作。切除病灶经脐部切口或肛门取出。结果8例顺利完成单孔腹腔镜直肠前切除术，1例在离断低位肠管时增加了一处12mm穿刺切口以便放置切割闭合器。平均手术操作时间202min，术后无出血、吻合口漏和肠梗阻等并发症发生，手术切口无感染、裂口、疝等出现。结论通过细致的操作，单孔腹腔镜直肠前切除术是可行的，并且具有良好的微创与美容效果。

The operative technique of single incision laparoscopic Dixon operation in the treatment of rectal cancer

Objective To analyze the operative technique of single access laparoscopic Dixon operation in the treatment of rectal cancer. Methods From January 2010 to March 2011, 9 cases of single incision laparoscopic Dixon operation were performed in the treatment of rectal cancer in our hospital. A 3cm incision was created in umbilicus and 3 trocars were inserted through the aponeurosis tissue on the abdominal wall. The diameter of the trocars were 5 mm,10 mm and 12 mm. All the process of dissection and anastomosis ...