Experience of self-made breather in transanal total mesorectalexcision

doi:10.3877/cma.j.issn.2095-3224.2019.03.015

Abstract

Abstract:

Objective

To summarize the experience of self-made breather in transanal total mesorectal excision (TaTME).

Methods

From November 2016 to April 2017, 5 cases of transanal total mesorectal excision were performed. The abdominal pressure balance was maintained by using self-made ventilation device when penetrating the abdominal cavity. The clinical data of these 5 cases were analyzed.

Results

All operations went smoothly without abdominal incision but only 1 patient underwent pure-TaTME among 5 cases. The operation time was (206.0±9.5) min, the amout of bleeding was (64.0±27.3) mL, the length of removal intestinal canal was (17.4±1.3) cm, the amount of lymph node dissection was (16.8±1.2), the length of lower incisal margin was (2.5±0.3) cm, the exhaust time was (21.8±4.9) h, the fasting time was (11.2±2.6) h and the length of stay after operation was (5.2±0.7) d. There was no bleeding, intestinal fistula, abdominal infection and intestinal obstruction.

Conclusion

Self-made breather was useful in transanal total mesorectal excision. It can help to get stable working place and operation view.

Key words: Rectal neoplasms, Transanal total mesorectal excision, Laparoscopy, Natural orificetransluminal endoscopic surgery

Xiongbo Guo, Baohua Liu, Bin Huang, Jingwang Ye, Zhengyong Liu. Experience of self-made breather in transanal total mesorectalexcision[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2019, 08(03): 286-289.

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URL: https://zhjzcjbdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-3224.2019.03.015

https://zhjzcjbdzzz.cma-cmc.com.cn/EN/Y2019/V08/I03/286

Figures/Tables 3

References 11

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性别	年龄（岁）	BMI（kg/m²）	肿瘤大小（cm）	距肛缘距离（cm）	病理类型	临床分期
男	53	23.4	2.5	4	腺癌	cT2N1M0
男	64	24.7	3	5	腺癌	cT3N0M0
女	49	28.1	2	3	局部癌变	cT1N0M0
男	58	22.9	1.5	4	腺癌	cT2N0M0
女	56	31.4	2	6	腺癌	cT2N0M0

性别	年龄（岁）	BMI（kg/m²）	肿瘤大小（cm）	距肛缘距离（cm）	病理类型	临床分期
男	53	23.4	2.5	4	腺癌	cT2N1M0
男	64	24.7	3	5	腺癌	cT3N0M0
女	49	28.1	2	3	局部癌变	cT1N0M0
男	58	22.9	1.5	4	腺癌	cT2N0M0
女	56	31.4	2	6	腺癌	cT2N0M0

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