在腹腔镜腹腔围切除直肠癌中的新型围暴露方法:一个案例系列研究
Jun Ma1, Daibin Tang1, Yuquan Tang2
1Department of General Surgery, Anqing Municipal Hospital, No. 352, Ren-Ming Road, Anqing, 246000, Anhui Province, P.R. China.
BMC surgery
|May 20, 2024
概括
隆星®收缩器辅助 (LSRA) 暴露改善了腹周切除 (APR) 期间的腹周切除 (APR) 期间的腹周切除. 这种技术在试点研究中提高了手术安全性,效率和操作员舒适度.
科学领域:
- 手术瘤学手术瘤学
- 胃肠道手术 胃肠道手术
- 结直肠癌的治疗方法
背景情况:
- 腹周切除 (APR) 或Mile的程序是直肠癌的关键治疗方法.
- 虽然关节保护技术已经进步,但对于涉及外部关节的瘤,APR仍然是必要的.
- 适当的周围暴露对APR的安全性和患者的结果至关重要.
研究的目的:
- 评估Lone-Star®伸缩器辅助 (LSRA) 暴露方法在APR期间对周围暴露的疗效.
- 评估LSRA对手术安全,效率和操作员经验的影响.
主要方法:
- 一个回顾性审查16连续的直肠癌患者接受APR.
- 使用Lone-Star®拉伸器辅助 (LSRA) 暴露方法进行周围骨剖析.
- laparoscopic-assisted APR 进行了动态收缩器调整以实现最佳可视化.
主要成果:
- 所有16个腹腔镜辅助的APR均成功完成.
- 标本显示没有穿孔和负环切除边缘 (CRM).
- 四名患者经历了轻微的术后并发症 (Clavien-Dindo等级≤3),所有都得到缓解;没有出现复发或转移.
结论:
- 在直肠癌的APR期间,LSRA有助于改善围暴露.
- 这种方法提高了手术内安全性,手术效率和操作员舒适度.
- LSRA可以实现单个操作手术并改善整体外科手术体验.
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