Combined NOTES total mesorectal excision and single-incision laparoscopy principles for conservative proctectomy: a single-centre study

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• 作者：H. Meillat ; C. de Chaisemartin ; F. Poizat ; E. Bories…
• 关键词：Rectal cancer ; Transanal total mesorectal excision ; Natural orifice specimen extraction ; Single ; port laparoscopic surgery
• 刊名：Techniques in Coloproctology
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：21
• 期：1
• 页码：43-51
• 全文大小：
• 刊物类别：Medicine
• 刊物主题：Surgery; Gastroenterology; Proctology; Abdominal Surgery; Colorectal Surgery;
• 出版者：Springer International Publishing
• ISSN：1128-045X
• 卷排序：21

文摘

BackgroundSurgery for low rectal cancer remains a challenge when a standard laparoscopic approach is used. Transanal endoscopic total mesorectal excision (TME) has been shown to be feasible and to be associated with a low conversion rate. Combining the transanal and transabdominal single-port approaches (with an abdominal single port implanted in the future stoma and extraction site) could allow TME with minimal wound trauma, low morbidity, and faster recovery. The aim of the current study was to assess the short- and mid-term results of this technique.