中华消化外科杂志
中華消化外科雜誌
중화소화외과잡지
CHINESE JOURNAL OF DIGESTIVE SURGERY
2012年
3期
231-234
,共4页
童卫东%赵松%赵俊胜%刘宝华%郑湖玲%张鑫
童衛東%趙鬆%趙俊勝%劉寶華%鄭湖玲%張鑫
동위동%조송%조준성%류보화%정호령%장흠
直肠肿瘤%腹腔镜检查%经前会阴平面超低位直肠前切除
直腸腫瘤%腹腔鏡檢查%經前會陰平麵超低位直腸前切除
직장종류%복강경검사%경전회음평면초저위직장전절제
Rectal neoplasms%Laparoscopy%Anterior prineal plane for ultra-low anterior resection of the rectum
The introduction of stapling instruments and improved understanding of pathology has resulted in a greater proportion of low rectal cancer patients undergoing sphincter-preserving resection.A variety of alternative techniques have been proposed to avoid a permanent stoma,including abdominal pull through,abdominal trans-sphincteric resection and intersphincteric resection.However,these damages always inflicted on the anal sphincters with poor functional results.More recently,the anterior perineal plane for ultra-low anterior resection of the rectum (APPEAR) technique was developed which approaches the anurectum via an anterior transperineal approach and exploits an anatomic space within the pelvic floor musculature termed “rectal no-man's laud”.The ability to access this segment of distal rectum by the perineal approach may determine whether a sphincter-saving resection can be performed for a proportion of patients who would otherwise require a permanent stoma.We performed laparoscopic APPEAR for a 46-year old woman with low rectal cancer with satisfactory results.
