摘要
全直肠系膜切除(TME)显著改善了直肠癌的外科治疗效果。随着腹腔镜技术发展,腹腔镜TME手术亦得到广泛开展。经过20余年的发展和循证医学证据的积累,腹腔镜TME手术虽然在微创效果方面显示出一定的优势,但在术后严重并发症发生率及术后住院时间方面并未显示出显著的优势。因此,结合经自然孔道内镜外科手术(NOTES)、经肛门内镜显微手术(TEM)及单孔腹腔镜手术(SILS)衍生发展出的经肛门全直肠系膜切除(ta TME)成为新的关注热点。进一步提出的完全经肛门TME手术(pure ta TME)更是凝聚了直肠癌微创外科技术的精华。在确保直肠癌手术根治性效果的基础上,不断探索最大程度降低手术创伤或将成为TME手术未来发展方向。
Total mesorectal excision （TME） significantly improved the prognosis and effect of surgical treatment of rectal cancer. With the emergence and popularization of laparoscopic technique, the laparoseopic TME has been gaining acceptance rapidly and widely. With the gradual accumulation of medical evidence for more than 20 years, although the laparoseopic TME shows some advantages in minimally invasive effect, the postoperative serious complications and postoperative hospitalization time did not show a significant advantage. Therefore, combined with many kinds of technology including natural orifice transluminal endoscopic surgery, the transanal endoscopic microsurgery and the single incision laparoscopic surgery, the transanal total mesorectal excision （taTME） has become a new focus. Further proposed, the pure transanal total mesorectal excision （pure taTME） is a large collection of minimally invasive surgical techniques for rectal cancer.The trend of surgical treatment for rectal cancer is toward less invasive surgical techniques which of oncologic resection obtained
出处
《中国实用外科杂志》
CSCD
北大核心
2015年第8期844-846,856,共4页
Chinese Journal of Practical Surgery
基金
北京市医院管理局临床医学发展专项经费资助(No.ZYLX201504)
关键词
直肠癌
腹腔镜
全直肠系膜切除
经肛门全直肠系膜切除
经自然孔道内镜外科手术
rectal cancer
laparoscopy
total mesorectal excision
transanal total mesorectal excision
natural orificetransluminal endoscopic surgery
