手套通路经肛门内镜微创手术治疗直肠良性肿瘤的临床研究

Via Gloves Approach Performing TEM in the Treatment of Rectal Benign Tumour.Ciinical Research

为探讨手套通路经肛门内镜微创手术治疗直肠良性肿瘤的安全性及有效性，2013年8月至2015年12月甘肃省嘉峪关市中医医院外科采用自制加长型环状扩肛器和外科手套建立通路，应用常规腹腔镜设备和器械行经肛门内镜微创手术6例。结果显示，本组6例患者中，管状绒毛状腺瘤1例，广基腺瘤样息肉5例。平均手术时间为50min，手套通路完成时间为15min。平均术中出血15mL。病理证实全部病例RO切除。6例患者均于术后第3天出院，随访30d，均无明显并发症发生。结果表明，手套通路经肛门内镜微创手术治疗直肠良性肿瘤安全、经济、有效。

This study was to investigate the safety and effectiveness of the procedure of transanal endoscopic microsurgery（TEM） via gloves approach in the treatment of rectal benign tumour.Authors＂ department from Aug. 2013 to Dec. 2015 adopted self made lengthened circular anal dilator and surgical gloves to establish an approach, and used routine laparoscopic devices for performing TEM on the 6 patients with rectal benign turnout. As results, among the 6 cases one was of tubular villous adenoma, rest 5 were of broad-base adenoma-like polyps; averaged operative time lasted 50 min, gloves approach performed time was 15 min,the volume of intraoperative bleeding on average was 15 mL;6 cases were all up to R0 resection confirmed by pathological examination,discharged all on the 3rd day after operation, the follow-up of 30 clays did not find any distinct operative complication.Results show that above-mentioned procedure for rectal benign tumour is safe, effective, and economic.