腹腔镜下直肠癌侵犯膀胱的扩大根治术(附视频)

Laparoscopic expanded anterior radical resection for rectal cancer with bladder invasion

结直肠癌患者呈逐年增加的趋势,其中局部进展期结直肠癌占有较高比例。上段直肠或乙状结肠肿瘤有时粘连或侵犯到临近脏器,其中常见受累器官为膀胱。目前局部进展期直肠癌的手术治疗存在争议。本文展示了国内文献报道较少的腹腔镜下直肠癌侵犯膀胱的扩大根治术,其中患者行膀胱部分切除术。术后行Xelox方案化疗6周期,1年期随访结果良好。对于累及膀胱的结直肠癌,应视患者的具体情况制定合适的治疗方案,争取RO切除术机会。

The number of colorectal cancer patients is increasing year by year and the proportion of patients with locally advanced cancer was higher in China.The Pelvic tissue can be invaded by tumor,especially in the cases with upper rectal cancer or sigmoid cancer.The bladder is the most commonly invaded tissue.There are some controversies about surgical treatment for locally advanced rectal cancer.In this video,laparoscopic expanded radical resection for rectal cancer with bladder invasion was shown,and partial cystectomy also has been performed in this case.Postoperatively,six cycles of adjuvant chemotherapy(Xelox)was performed for the patient,and no obvious recurrence was observed during one year follow-up.The appropriate treatment plan should be formulated according to the state of the tumor,especially in the cases with locally advanced rectal cancer with bladder invasion with the purpose of increasing the chance of Roresection.