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首页> 外文期刊>International journal of colorectal disease. >Laparoscopic-assisted low and ultralow anterior resection for lower rectal cancer using the simple 'Rectum Catcher' device and an intra-operative colonoscopy
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Laparoscopic-assisted low and ultralow anterior resection for lower rectal cancer using the simple 'Rectum Catcher' device and an intra-operative colonoscopy

机译：使用简单的“直肠捕手”装置和手术内的结肠镜检查，腹腔镜辅助低和超级前切除术，用于较低直肠癌

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Purpose We report the feasible technique in lower rectal surgery. Materials and Methods The Rectum Catcher (Matsumoto et al. in Surg Endosc 22:1905-1909, 2008) is made of stainless steel, with a circle of diameter 6 mm punched out at a distance of 5 mm from the top and covered with a short-cut T-tube. A vessel tape is inserted into the stainless steel and the short-cut T-tube. The rectum is grasped using the Rectum Catcher at a proximal rectum of the cancer, and the location of the cancer is confirmed using an intra-operative colonoscopy. In the next step, the Rectum Catcher is applied at the distal rectum of the cancer, and which easily occludes the rectum, and we confirm that the cancer is not at the distal rectum from the Rectum Catcher, using an intra-operative colonoscopy. The rectal lumen is irrigated. Then, the linear cutter is positioned just distal rectum to the Rectum Catcher, and the rectum is transected adequately. Results From January 2009 to the present, this study included 18 patients undergoing laparoscopic-assisted low and ultralow anterior resection for lower rectal cancer, using the Rectum Catcher and an intra-operative colonoscopy. Using the Rectum Catcher and an intra-operative colonoscopy, we can easily make a decision of the location of rectal cancer in lower rectum and irrigation of rectal lumen can be easily performed to safely cut the bowel being occluded, in the narrow laparoscopic view of the pelvic cavity. Conclusion The combination between the Rectum Catcher and an intra-operative colonoscopy is useful for performing laparoscopic rectal surgery.
机译：目的我们报告了下直肠手术中可行的技术。材料和方法直肠捕手（Matsumoto等人。在Surg Endosc 22：1905-1909,2008）由不锈钢制成，直径6 mm的圆圈距离顶部5毫米并覆盖短切T管。将血管带插入不锈钢和短切管中。在癌症的近端直肠上使用直肠捕集器掌握直肠，并且使用术中术中的结肠镜检查确认癌症的位置。在下一步骤中，直肠捕集器施用于癌症的远端直肠上，并且易于闭合直肠，并且我们确认癌症不在直肠捕手的远端直肠上使用术中的结肠镜检查。直肠内腔被灌溉。然后，线性切割器位于直肠捕集器的远端直肠上，直肠被充分变化。结果2009年1月至目前，本研究包括使用直肠捕手和术中结肠镜检查的腹腔镜辅助低和超级前切除腹腔镜辅助和超级前切除术的18名患者。使用直肠捕手和术中的术中结肠镜检查，我们可以容易地决定直肠癌直肠癌的位置，并且可以容易地进行直肠腔的灌溉，以安全地切割肠道被遮挡，在狭窄的腹腔镜视图中骨盆腔。结论直肠捕手与手术内结肠镜检查之间的组合可用于进行腹腔镜直肠手术。

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