摘要
目的探讨达芬奇机器人经肛局部全层切除术(full-thickness local excision, FTLE)治疗新辅助放化疗(neoadjuvant chemoradiation therapy, NCRT)后临床完全缓解(clinical complete remission, cCR)的直肠癌的安全性和可行性。方法选取NCRT后cCR的直肠癌患者一例,完善术前检查,排除绝对手术禁忌,实施达芬奇机器人经肛FTLE。结果手术顺利,手术时间约180 min,术中出血量约10 ml,术后3 d出院,术后病理分期ypT0N0M0,随访4周无不适。结论达芬奇机器人经肛FTLE治疗NCRT后cCR的直肠癌是安全、可行的,更多证据尚需大规模临床研究。
Objective The purpose of this study was to investigate the safety and feasibility of da Vinci robotic transanal full-thickness local excision for rectal cancer with complete clinical remission after neoadjuvant chemoradiotherapy.Methods A patient with rectal cancer who had complete clinical remission after neoadjuvant chemoradiotherapy underwent transanal full-thickness local excision using the da Vinci Si surgical system.Results The operation was successful with a duration of about 180 min and an intraoperative bleeding of about 10 ml. The patient was discharged 3 days later. The postoperative pathological stage was ypT0N0M0.Conclusions It is safe and feasible to treat rectal cancer with complete clinical remission after neoadjuvant chemoradiotherapy by transanal full-thickness local excision using the da Vinci Si surgical system. More evidence is needed in large-scale clinical studies.
作者
邹贵军
袁新普
马冰
宋舟
黄晓天
曹震
王麦换
张朝军
Zou Guijun;Yuan Xinpu;Ma Bing;Song Zhou;Huang Xiaotian;Cao Zhen;Wang Maihuan;Zhang Chaojun(Department of General Surgery,The First Medical Centre,Chinese PLA General Hospital,Beijing 100853,China)
出处
《中华腔镜外科杂志（电子版）》
2022年第5期311-314,共4页
Chinese Journal of Laparoscopic Surgery(Electronic Edition)
基金
国家自然科学基金(81972320)
关键词
Da
Vinci机器人手术
经肛局部全层切除术
新辅助放化疗
临床完全缓解
直肠癌
Da Vinci robotic surgery
Transanal full-thickness local excision surgery
Neoadjuvant chemoradiation
Clinical complete remission
Rectal cancer
作者简介
通信作者:张朝军,Email:zcjdlyxzx@163.com
