Release date: 2014-07-23
Recently, the chief surgeon of the five wards of the General Hospital of Harbin Medical University, Chen Zhixian, successfully completed a laparoscopic radical resection of a specimen of laparoscopic and colonoscopy combined with abdomen without an incision. The patient recovered well after surgery, no complications occurred, and the function of defecation and control was normal.
Ms. Wang, 50 years old, went to our hospital for treatment for more than a month due to intermittent blood in the stool. Colonoscopy revealed that there was a 2 cm diameter cauliflower mass from the anus 12 cm. The pathological result is rectal adenocarcinoma. Because the patient's tumor is small, it is difficult to locate the operation under laparoscopy. After research, Director Chen Zhixian decided to perform a double-lens combined with a lower abdomen without an incision through the anus to remove the specimen for rectal cancer.
Intraoperative colonoscopy is used to accurately locate and avoid unnecessary expansion. The function is kept to the maximum. In the past, the treatment method was required to open the intestines to the outside of the abdominal wall and remove the intestines where the tumor is located. In this case, after the intestine segment of the tumor is removed under the abdominal cavity, the pathological specimen is placed in the retrieval bag, and the natural passage of the human body is non-invasively removed.
According to Director Chen Zhixian, NOTES requires a long time of practice and exploration in clinical development. Under the condition that NOETS surgery is not available yet, the doctors of the Fourth Hospital can flexibly use it in minimally invasive surgery and implement individualized programs. In the minimally invasive surgery for laparoscopic rectal cancer, the natural cavity is taken out to take out the specimen and complete the reconstruction of the digestive tract. This type of surgery has no additional incision except for the four operating holes of the abdomen, which shortens the operation time and is more in line with the concept of functional surgery. . The procedure is less exposed to the peritoneal and abdominal organs, which greatly reduces postoperative intestinal adhesions and intestinal obstruction. At the same time, it avoids the occurrence of incision infection, incisional hernia and other complications, and shortens the patient's recovery cycle.
Source: Medical Forum Network
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