腹腔镜自然孔道标本提取，一种治疗中段直肠癌的微创手术技术：回顾性单中心分析和...

评估直肠中段切除继以经肛门标本提取的可行性、安全性和短期结果。

44 名直肠中段小肿瘤患者接受了腹腔镜直肠切除术，然后经肛门取出标本。

所有患者均成功完成手术，无需术中转换或额外通路。 平均手术时间为 182.7 分钟（范围，130-255 分钟），平均失血量为 26.5mL（范围，5-120mL），平均术后排气时间为 31.3 小时（范围，16-60 小时），并且 平均住院时间为 9.5 天（范围 8-19 天）。 一名患者出现吻合口漏，通过静脉注射抗生素和每天通过腹腔引流管冲洗盆腔进行治疗。 没有观察到与感染相关的并发症或肛门失禁。 平均肿瘤大小为 2.1cm（范围，1.6-3.2cm），平均收获的淋巴结数为 16.5（范围，6-31），平均随访时间为 8.5 个月（范围，2-16 个月） ). 到最后一次随访时，没有发现任何患者复发的迹象。

标准腹腔镜直肠切除术和经肛门标本提取的结合可能成为选定患者的既定策略。

腹腔镜自然孔道标本提取，一种治疗中段直肠癌的微创手术技术：回顾性单中心分析和...

标本通过肛门拉出。 (a) 示意图和 (b) 术中照片。

腹腔镜自然孔道标本提取，一种治疗中段直肠癌的微创手术技术：回顾性单中心分析和...

将铁砧插入打开的近端乙状结肠残端。 (a) 示意图和 (b) 术中照片。

腹腔镜自然孔道标本提取，一种治疗中段直肠癌的微创手术技术：回顾性单中心分析和...

打开的直肠残端被关闭。 (a) 示意图和 (b) 术中照片。

腹腔镜自然孔道标本提取，一种治疗中段直肠癌的微创手术技术：回顾性单中心分析和...

执行端到端吻合术。 (a) 示意图和 (b) 术中照片。

腹腔镜自然孔道标本提取，一种治疗中段直肠癌的微创手术技术：回顾性单中心分析和...

患者术后 3 周的腹壁。

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