摘要
早期直肠癌的根治性局部切除术目前仍存在争议,而治愈性的直肠息肉局部切除和姑息性的直肠癌局部切除术已经被大家认可。直肠肿瘤的局部切除存在多种手术方式,经肛门局部切除术在临床最常见,与其它的局部切除方式一样其应用还受到一定的限制。经肛门内窥镜下微创外科(TransanalEndoscopicMicrosurgery,TEM)技术是最近几年发展起来的一门新的微创外科技术,这项技术是针对直肠肿瘤的局部切除而设计,与其它局部切除手术相比死亡率和复发率最低,目前国内尚未开展这项技术。本文介绍了各种经肛门进行直肠肿瘤局部切除手术的优缺点,重点介绍了TEM手术的特点。
It is controversial on the local radical excision of early rectal cancer currently, while it is recognized for curable local excision of rectal polyp and palliatively local resection of rectal cancer. Nowdays, among many techniques to process local excision, transanal resection is the prevailing one in clinical practice, still limited as other methods of local resection. Transanal endoscopic microsurgery （TEM） is a newly-developed and minimally-invasive technique for local resection of rectal tumors. Compared with other local resection techniques, both the mortality and morbidity of TEM are rather low. At present, the technology of TEM has not yet been developed in China. This article shows the existing technique and especially introduces the characteristics of TEM.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
2006年第22期1312-1315,共4页
Chinese Journal of Clinical Oncology
基金
国家自然科学基金资助(编号:39470739)
关键词
直肠腺瘤
早期直肠癌
局部切除术
直肠微创外科技术
Rectal adenoma Early rectal cancer Local excision Trans-anal endoscopic microsurgery （TEM）
