Home    中文  
 
  • Search
  • lucene Search
  • Citation
  • Fig/Tab
  • Adv Search
Just Accepted  |  Current Issue  |  Archive  |  Featured Articles  |  Most Read  |  Most Download  |  Most Cited

Chinese Journal of Operative Procedures of General Surgery(Electronic Edition) ›› 2019, Vol. 13 ›› Issue (01): 18-18. doi: 10.3877/cma.j.issn.1674-3946.2019.01.007

Special Issue:

• Operation Theater • Previous Articles     Next Articles

Laparoscopic radical resection of rectal cancer (Dixon)

Shuangyi Ren1,(), Xinsheng Zhang1   

  1. 1. Department of Gastrointestinal Surgery, The Second Affiliated Hospital of Dalian Medical University, Dalian 116023, Liaoning, China
  • Online:2019-02-26 Published:2019-02-26
  • Contact: Shuangyi Ren
  • About author:
    Corresponding author: Ren Shuangyi
  • Supported by:
    The National Natural Science Foundation of China(No.81372669); The Science and Technology Planning Project of Liaoning province(No.2012225020)

Abstract:

Firstly, to dissect the retroperitoneaum along transitional zone between mesocolon and retroperitoneum, and to separate the mesentery to the root of the inferior mesenteric artery and to dissect 253 group lymph nodes, then to clamp and cut inferior mesenteric vessels 1 cm away from abdominal aorta. Sencondly, to separate mesocolon from medial to lateral to the paracolic sulcus, and to dissect retroperitoneum on the left side for the sufficient mobilization of descending colon and sigmoid colon. Thirdly, to dissect rectal mesentery sharply between proper fascia of rectum and pelvic fascia according to TME principle, from posterior wall to lateral and anterior wall then to pelvic floor. To clamp rectum 2 cm below tumor, and to rinse the distal rectum before cutting it with a stapler. Finally, to make an arc incision around the umbilicus, then to pull out the proximal intestine and to cut colon 15 cm away from the tumor. To place in the anvil of the circular stapler in proximal intestine, and to put it back into abdomen and to rebuild artificial pneumoperitoneum. Then to achieve transanal anastomosis by using circular stapler. then to rinse the abdomen and to put the drainage tube after surgery.

Key words: Rectal neoplasms, Laparoscopes, Dixon

京ICP 备07035254号-3
Copyright © Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), All Rights Reserved.
Tel: 66721881; 64049986 E-mail: zhpwkssx@126.com
Powered by Beijing Magtech Co. Ltd