China News Service, Xiamen, July 16 (Yang Fushan and Zhang Shushan) Robotic surgery at Zhongshan Hospital of Xiamen University has achieved a new breakthrough: The team of Professor Cai Jianchun of Gastrointestinal Surgery of the hospital recently completed a specimen collection via the anus using the latest generation of Da Vinci robots Eversion and drag-out radical resection of low rectal cancer.

　　The Zhongshan Hospital affiliated to Xiamen University said on the 16th that this type of operation that uses robots to combine "anus-preserving surgery" and "no-incision surgery" is the first case in Fujian Province.

　　According to reports, a female patient surnamed Wang, in her 50s, was admitted to the gastrointestinal surgery department of the hospital due to repeated dark red bloody stools a month ago.

Colonoscopy revealed that he was suffering from "rectal tumor", the tumor is only 5cm from the anal orifice, which belongs to low rectal cancer.

The tumor is large (approximately 4cm in diameter), is close to the anus, and the patient's pelvis is narrow, making the surgical anatomy difficult.

　　The dean of the hospital and the leader of gastrointestinal surgery, Professor Cai Jianchun, led deputy chief physician Wang Zhenfa, physician Zhuang Yifan, anesthesiologists and surgical nurses to form a dedicated team. After adequate preoperative evaluation and preparation, combined with the characteristics of the patient’s tumor, it is recommended that the patient consider The 4th generation Da Vinci Robotic Surgery System (Xi) newly introduced by the hospital was used to accurately perform the surgery. Ms. Wang accepted it after discussing with her family.

　　According to Professor Cai Jianchun, anus-preserving surgery for low and ultra-low rectal cancer must not only ensure radical resection of the tumor but also preserve the anus, it has always been one of the most difficult operations in the field of gastrointestinal surgery.

As the honorary chairman unit of the China Rectal Cancer Conservation Alliance, the gastrointestinal surgery department of the hospital has accumulated rich experience in this type of surgery.

　　"Now with the Da Vinci robot, the dissection operation in this narrow space is more convenient, and the accuracy of the operation can be guaranteed," said Professor Cai Jianchun. "In addition, this operation also uses our characteristic Abdominal incision-free surgical technique."

　　The operation lasted 3 hours and was successfully completed, and there was almost no bleeding during the operation.

The excised tumor specimens are taken out through the anus, which not only avoids the direct removal of the tumor through the intestinal tube and damages the rectum, but also has a better preventive effect on abdominal infection and tumor implantation. It also avoids the abdominal incision, making the patient less painful and recovering Faster, more beautiful prognosis, and does not increase the patient's medical expenses.

　　Professor Cai Jianchun said that about 70% of rectal cancer patients in China are middle-to-low rectal cancer, which can be detected by digital anal examination. It is recommended that people pay attention to the abnormal conditions of the digestive tract, and early diagnosis and treatment can be better guaranteed. Quality of Life.

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