YANG Feng , ZHANG Shu , YU Lan , et al.
  • Department of Surgery, The Third People’s Hospital of Chengdu, Chengdu 610031;
Laparoscope Rectal carcinoma Total mesorectal excision Ultrasonic scalpel
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Objective  To introduce the total mesorectal excision (TME)under the laparoscope and with the ultrosonic scalpel.
Methods  Under the laparoscope and with the ultrosonic scalpel, total mesorectal excision in 3 patients was performed. In operation, alone the parietal layer of pelvic fascia and inside the automatic nerve trunk, the mesorectum was excised with the ultrasonic scalpel.
Results  Three patients got final recovery, no damage to the viscera in operation occurred. Average hemorrhage amount was about 100ml. Intestinal function recovered within 24 hours, average in hospital time was 10.3 days. After 4 months, 3 patients got good living quality without recurrence and metastasis.
Conclusion  TME under the laparoscope is a new progress of less damageable operation. Compared with the traditional open laparotomy,it has some advantage. But it requires high technology and expensive equipments, and the case is still very limited in use.

Citation： YANG Feng,ZHANG Shu,YU Lan,et al.. TOTAL MESORECTAL EXCISION WITH ULTRASONIC SCALPEL UNDER THE LAPAROSCOPE IN THE OPERATION OF RECTAL CARCINOMA. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2001, 8(3): 154-155. doi: Copy