单孔腹腔镜直肠癌Dixon切除术的技巧

Techniques of single access laparoscopic Dixon operation forthe treatment of rectal cancer

腹腔镜直肠癌手术已得到国内外医生的广泛接受和认可，许多前瞻性研究和循证医学结果证实其可获得与开腹手术相同甚至更好的远期效果。目前，国内许多医疗中心正在大力推广和普及此类技术。但从微创和美容角度审视多孔腹腔镜直肠癌技术，尚存在可改进之处。自从经脐单孔腹腔镜手术概念提出以后，国外的学者就将该技术应用于结。

The efficacy of laparoscopic Dixon operation for the treatment of rectal cancer has been proven, while at the same time there are opportunities to make the procedure less invasive. From January 2010 to March 2011 , 9 cases of single access laparoscopic Dixon operation have been performed at the Shengjing Hospital. An incision with the length of 3 cm was created in umbilicus and 3 trocars were inserted through the fascia on the abdominal wall. The dissection and anastomosis were performed through the incision. The resected tumors were removed through the umbilical incision or anus. The operation was successfully performed on 9 patients, and one more incision with the length of 12 mm was created on the lower abdominal wall in 1 patient in order to install the stapling device. The aver- age operation time was 202 minutes. No postoperative bleeding, intestinal obstruction or anastomosis leakage was found.