摘要
经肛门微创手术（TAMIS）是将单孔腹腔镜通道置入肛管，利用常规腹腔镜器械经肛门途径完成直肠肿瘤局部切除或全直肠系膜切除术的一种经肛门进行的微创手术，是经肛门内镜显微手术（TEM）后发展起来的另一种经肛门途径的内镜下手术。初步资料显示，其与TEM术式相比，TAMIS术式可能具有花费小和学习曲线短等优点，更易于推广。目前，TAMIS术式不仅应用于直肠肿瘤的局部切除，而且在经肛门全直肠系膜切除术（taTME）中也体现其应用前景，后者也被称为TAMIS平台的taTME，即TAMIS-TME。现有资料显示，TAMIS术式具有一定的安全性和有效性，但是该术式开展时间不长，治疗效果有待于更大样本和长期随访的循证医学证据进行验证。
Transanal minimally invasive surgery （TAMIS） is a kind of minimally invasive surgery that local resection or total mesorectal excision for rectal neoplasm is performed through the use of multichannel port （single port） transanally. Compared to transanal endoscopic microsurgery （TEM） approach, TAMIS offers an alternative to TEM for rectal neoplasm, and shows the advantage of lower cost and shorter learning curve. TAMIS approach has been used not only in the local resection of rectal neoplasm but also in transanal total mesorectal excision （transanal TME）, which is also called TAMIS-TME, in recent four years. The safety and efficacy of TAMIS approach has been shown in the currently published literatures. However, TAMIS approach has to wait for more evidence-based data with larger-scale and longer follow-up to get its validation.
出处
《中华胃肠外科杂志》
CAS
CSCD
北大核心
2015年第5期419-422,共4页
Chinese Journal of Gastrointestinal Surgery
关键词
直肠肿瘤
经肛门微创手术
经肛门全直肠系膜切除术
Rectal neoplasms
Transanal minimally invasive surgery
Trananal total mesorectal excision
