内窥镜辅助提肛肌外腹会阴联合切除术

This video demonstrates a technique for performing endoscopically assisted extralevator abdominoperineal excision. It combines laparoscopic abdominal operation for the sigmoid and upper rectum with a transperineal "down to up" or "reverse" anorectal mobilisation including wide dissection into the levator ani using a Gelport Path device by Applied Medical. The enhanced optical view facilitates extralevator dissection and allows the patient to remain in lithothomy position throughout the operation. The video is associated with a manuscript that has been submitted for publication to Colorectal Disease


Authors: Nicolas C. Buchs, Rebecca Kraus, Neil J. Mortensen, Chris Cunningham, Bruce George, Oliver Jones, Richard Guy, Shazad Ashraf, Ian Lindsey, Roel Hompes.

Department of Colorectal Surgery, Churchill Hospital, University Hospitals of Oxford, Oxford, UK.

Correspondence to: Nicolas C. BUCHS, MD,
Department of Colorectal Surgery, Churchill Hospital, University Hospitals of Oxford Old Road, OX3 7LE, Oxford, UK.

                               
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Video associated with Colorectal Disease Journal (published by Wiley and associated with the Association of Coloproctology Great Britain and Ireland (ACPGBI), European Society of Coloproctology (ESCP) and Spanish Society of Coloproctology (SSC).