达芬奇机器人经肛门微创手术：治疗直肠良性肿瘤的一种新技术

doi:10.3877/cma.j.issn.1674-6899.2022.03.013

应用达芬奇机器人经肛门微创手术(transanal minimally invasive surgery, TaMIS)治疗直肠良性肿瘤越来越受欢迎，但在国内鲜见报道。解放军总医院于2022年1月成功完成了1例达芬奇机器人TaMIS，手术时间约40 min，术中出血约10 ml，术后无并发症。术后病理检查提示直肠管状腺瘤，切缘未见肿瘤。达芬奇机器人手术操作系统有利于TaMIS的开展，迎合保肛保功能的外科手术的发展趋向，发展潜力大。

关键词: 达芬奇机器人手术, 经肛门微创手术, 直肠良性肿瘤

The da Vinci robot minimally invasive transanal surgery has become a popular technique for rectal benign neoplasia, but is rarely reported in China. In Jan. 2022, the first robotic transanal minimally invasive surgery for rectum polyp was performed in the PLA General Hospital, with the surgical time of approximately 40 min and an amount of blood loss of approximately 10 ml, with no perioperative complications and no postoperative pathological evidence of tumor residue. Da Vinci robotic surgical operating system has the potential to facilitate minimally invasive transanal surgery and meet the trend for anal preservation and functional surgery.

Key words: Da Vinci robotic surgery, Minimally invasive transanal surgery, Rectal benign neoplasia

图1 达芬奇机器人经肛门微创手术的手术步骤注：A.标记切除范围；B.肿瘤一侧垂直切开黏膜；C.全层切开黏膜至显露直肠壁外黄色脂肪组织为止；D.全层完整切除病变；E.连续缝合创面；F.创面对合良好

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