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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“ Rectum Catcher”装置和术中结肠镜检查，腹腔镜辅助的低位和超低位前切除术治疗下直肠癌

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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：目的我们报告下直肠手术的可行技术。材料和方法Rectum Catcher（Matsumoto等人，Surg Endosc 22：1905-1909，2008）由不锈钢制成，在距顶部5mm处冲出直径为6mm的圆，并盖上一个短T型管。将容器带插入不锈钢和短T型管中。使用直肠捕手在癌症的近端直肠处抓住直肠，并通过术中结肠镜检查确认癌症的位置。在下一步中，将直肠捕虫器应用于癌症的远端直肠，并且很容易阻塞直肠，并且通过术中结肠镜检查，我们确认癌症不在直肠捕虫器的远端直肠。直肠腔被冲洗。然后，将线性切割器恰好定位在直肠捕手的直肠远端，并充分切除直肠。结果从2009年1月到现在，该研究包括18例接受直肠癌和术中结肠镜检查的腹腔镜辅助下，超低下前切除术治疗下直肠癌的患者。使用直肠捕捉器和术中结肠镜检查，我们可以轻松地确定直肠癌在直肠下部的位置，并且可以在狭窄的腹腔镜下轻松地进行直肠腔冲洗，以安全地切断被阻塞的肠。骨盆腔。结论直肠捕虫器与术中结肠镜检查相结合可进行腹腔镜直肠手术。

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