[Application of triangle stability mechanical model in the layer separation of transanal total mesorectal excision].
Zhonghua Wei Chang Wai Ke Za Zhi
; 26(6): 603-606, 2023 Jun 25.
Article
em Zh
| MEDLINE
| ID: mdl-37583015
Transanal total mesorectal resection (taTME) has come a long way since it was first used in the clinic in 2010.The learning curve of this procedure is long due to different surgical approaches, different perspectives and different anatomical positions. Many surgeons experience complications during this procedure. Although the advantages and problems of this procedure have been reported in much literature, the anatomy and operation methods of taTME introduced in literatures and training centers are too complicated, which makes many surgeons encounter difficulties in carrying out taTME surgery. According to the author's experience in learning and carrying out this operation, spatial expansion process of ultralow rectal cancer was divided into three stages. At each stage, according to different pulling forces, three different schemes of triangular stability mechanics model were adopted for separation. From point to line, from line to plane, the model can protect the safety of peripheral blood vessels and nerves while ensuring total mesorectal excision . This model simplifies the complex surgical process and is convenient for beginners to master taTME surgical separation skills.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Retais
/
Laparoscopia
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Cirurgia Endoscópica Transanal
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Protectomia
Idioma:
Zh
Ano de publicação:
2023
Tipo de documento:
Article