查詢結果分析
相關文獻
- Modified Transanal Endoscopic Microsurgery Using Concept of Laparoscopic Single-Port Access
- 在選擇性的腹腔鏡手術中,使用單孔或多孔操作法之比較--使用單孔操作法可以縮短腹腔鏡手術的手術時間、同時減少併發症的發生率
- Minimally Invasive Surgery for Renal Cell Carcinoma
- Suture Fixation of Cecum May Facilitate Pure Single-incision Laparoscopic Right Hemicolectomy
- Analysis of Risk Factors for Conversion of Single Incision Laparoscopic Surgery for Colorectal Disease
- Single-port Laparoscopic Appendectomy versus Multiple-port Laparoscopic Appendectomy
- Antegrade Ureterorenoscopic Manipulation of Upper Ureteral Stones
- 雄犬腹腔鏡電燒結紮避孕之探討
- 泌尿科後腹腔鏡手術之現況與展望
- Technique Modifications in Retroperitoneoscopic Ureterolithotomy for Impacted Upper Ureteral Stones
頁籤選單縮合
題 名 | Modified Transanal Endoscopic Microsurgery Using Concept of Laparoscopic Single-Port Access=利用腹腔鏡單孔手術方式來進行經肛門內視鏡顯微手術 |
---|---|
作 者 | 沈明宏; 李興中; 黃其晟; 張世昌; | 書刊名 | 中華民國大腸直腸外科醫學會雜誌 |
卷 期 | 27:3 2016.09[民105.09] |
頁 次 | 頁114-118 |
分類號 | 416.245 |
關鍵詞 | 經肛門內視鏡顯微手術; 腹腔鏡; 單孔; Transanal endoscopic microsurgery; Laparoscopic; Single port; |
語 文 | 英文(English) |
中文摘要 | 背景對於直腸良性腫瘤或是早期癌症,經肛門內視鏡顯微手術是一種可行的方式。但是它需要昂貴的器械。我們把單孔腹腔鏡的概念應用到經肛門直腸腫瘤切除上,而本篇研究便是在探討它的可行性。病患和方法本研究採用台北國泰綜合醫院,於2012年1月至2014年12月期間,所有利用腹腔鏡單孔手術方式來進行經肛門內視鏡顯微手術的病人。我們分析這些病人的基本資料、腫瘤位置、病理報告及手術相關資料來進行分析。結果總共有12個病人利用腹腔鏡單孔手術方式來進行經肛門內視鏡顯微手術。其中七個是女生,五個是男生,平均年齡為72歲。腫瘤距離肛門的平均值約為9.8公分。腫瘤平均大小為3.2公分。平均手術時間為55分鐘,術後病人約住院2.5天,並沒有任何相關的手術併發症。其中有一人為類癌,三人為管狀絨毛線瘤,三人為絨毛線瘤,三人為管狀絨毛線瘤併高度異化,還有二人為早期直腸癌。結論利用腹腔鏡單孔手術方式來進行經肛門內視鏡顯微手術,對於良性直腸腫瘤及早期無危險因子的直腸癌是可行的。 |
英文摘要 | Background. Transanal endoscopic microsurgery is a feasible technique for benign rectal tumor and early rectal cancer. However, the original technique demands high-cost instrumentations. We adopted the concept of laparoscopic single port technique for transanal excision. The purpose of this study was to evaluate if transanal excision using laparoscopic single- port access is safe and efficacious. Patients and Methods. We collected patients operated with modified transanal endoscopic microsurgery using laparoscopic single-port access between January 2012 and December 2014.We analyzed the demography, tumor location, pathologic information, and surgical complication. Results. Twelve patients were operated using modified transanal endoscopic microsurgery using laparoscopic single-port access during the study period. The patients included 5 men and 7 women, with a median age of 72 years (range: 55-85 years). The median distance of the tumor from the anal verge was 9.8 cm (range: 7-15 cm). The median operative time was 55 min (range: 40-135 min). The mean size of tumor was 3.2 cm (range: 2.7-4.5 cm). The mean hospital stay was 2.5 days (range: 1-5 days). None of the patients had any perioperative complications. The pathological examinations revealed that 1 patient had carcinoid tumor, 3 patients had tubulovillous adenomas, 3 had villous adenomas, 3 had tubulovillous adenomas with focal high-grade dysplasia, and 2 had pT1 rectal cancers (both adenocarcinoma, arising from tubulovillous adenoma). After a year follow- up, none of the patients had local recurrence. Conclusions. Modified transanal endoscopic microsurgery using laparoscopic single-port access is feasible in benign rectal tumor and early rectal cancer. |
本系統中英文摘要資訊取自各篇刊載內容。