腹部无辅助切口经阴道拖出标本的腹腔镜右半结肠癌根治术一例(附视频)

Report of a case of laparoscopic right hemicolon cancer radical resection transvaginal specimen extraction surgery with no abdominal auxiliary incision

结直肠癌是全球及中国最常见的恶性肿瘤之一,发病率及死亡率较高,其中右半结肠癌发病率呈上升趋势。根治性手术切除是结肠癌最主要的治疗理念,腹腔镜手术已成为结肠癌最常见的微创手术治疗方式。近年来,经自然腔道取标本手术(NOSES)已广泛应用于结肠癌的手术治疗。本文报道1例腹部无辅助切口经阴道拖出标本的腹腔镜右半结肠癌根治术(CRC-NOSES Ⅷ),并对该术式的技术理念、要点进行分析讨论。

Colorectal cancer is one of the most common malignant tumors in the world and in China with high incidence and mortality,and the incidence of right hemicolon cancer is increasing.Radical resection is the main treatment for colon cancer,and laparoscopic surgery has become the most common minimally invasive treatment for colon cancer.In recent years,natural orifice specimen extraction surgery(NOSES)has been widely used in the surgical treatment of colon cancer.This operation is a case of laparoscopic right hemicolon cancer radical resection transvaginal specimen extraction surgery with no abdominal auxiliary incision(CRC-NOSES VIl),and the technical concept and key points of this operation were analyzed and discussed.