腹部无切口经肛门外切除肿瘤的腹腔镜直肠癌根治术

Transanal specimen extraction in laparoscopic rectectomywithout abdominal incision

在腹腔镜等微创手术中，充分利用自然腔道取出标本可减少手术切口。2013年11月7日哈尔滨医科大学附属第二医院收治1例直肠癌患者，实施腹部无切口经直肠肛门切除肿瘤的腹腔镜直肠癌根治术。患者手术时间为162min，术中出血量为10mL，切缘阴性，术后恢复较好，无并发症发生。随访1个月，患者排便和控便功能正常，吻合口及腹部戳孔愈合良好。

Specimen extraction via natural orifice could decrease the number of abdominal incision in laparoscopic sur- gery. One patient with rectal cancer received laparoscopic rec- tectomy in the Second Affiliated Hospital of the Harbin Medical University on November 7, 2013. During the operation, the specimen was extracted via anus. The operation time was 162 minutes, and the volume of intraoperative blood loss was 10 mL. The resection margin was negative. The patient recovered well with no incidence of complications. The patient was followed up for 1 month. The anal function was normal, and the stoma and the abdominal incision were well healed.