机器人腹部无辅助切口经直肠取出标本的右半结肠合并中位直肠癌根治术(附视频)

Radical resection of right hemicolon with middle rectal cancer by robot-assisted transrectal specimen extraction without abdominal incision

同时性多原发结直肠癌(SCRC)及经自然腔道取标本手术(NOSES)均为大家一直关注的焦点,SCRC复杂,治疗难度大,手术方式多,而近年来多中心开展NOSES术的疗效也被大家所肯定。其中,右半结肠癌NOSES术或直肠癌NOSES术都已被纳入结直肠肿瘤经自然腔道取标本手术专家共识中,安全性也已得到肯定,而右半结肠合并直肠癌的NOSES术报道很少。南昌大学第一附属医院近期成功实施的机器人无辅助切口经直肠取出标本的右半结肠合并中位直肠癌根治术,旨在为SCRC探索一种新的手术治疗方式。

Synchronous colorectal cancer(SCRC)and natural orifice specimen extraction surgery have been the focus of attention.SCRC is complex,difficult to treat and has many surgical methods.In recent years,the curative effect of multi-center NOSES is also affirmed.Among them,the right colon cancer NOSES surgery or rectal cancer NOSES surgery has been included in the expert consensus of colorectal cancer through natural orifice specimen extraction surgery,and the safety has also been affirmed,while the right colon combined with rectal cancer NOSES surgery has rarely been reported.The right colon combined with median rectal cancer radical resection without auxiliary incision was successfully performed in our hospital recently,aiming to explore a new surgical treatment for SCRC.