经肛门内镜显微手术在直肠肛门疾病中的应用  

Application of transanal endoscopic microsurgery in anorectal diseases

作　　者：蒙家兴 林宏城[2] 

机构地区：[1]香港明德国际医院外科部,999077 [2]中山大学附属第六医院肛肠外科

出　　处：《中华胃肠外科杂志》2015年第5期423-426,共4页Chinese Journal of Gastrointestinal Surgery

摘　　要：经肛门内镜显微手术（TEM）是一种能够安全有效处理局部肿瘤的手术方法，对于直肠绒毛状腺瘤和直肠原位癌（pTis）是理想的手术治疗方法，现在TEM 的临床应用可以扩大到肠镜发现的偶发癌和巨大绒毛状腺瘤。内镜下图像监视系统可以充分显示早期息肉病变，进而帮助我们选择合适的方法进行治疗，从而防止过度治疗或治疗不足。本文将详细讨论TEM技术的发展以及严格和扩大的适应证选择标准。Transanal endoscopic microsurgery （TEM） is a safe and effective procedure for the treatment of local tumors, especially for the rectal villous adenoma （pT0）, polyps with severe dysplasia and in situ carcinoma （pTis）. It can also be applied as salvage surgery for incidental carcinoma after colonoscopy as well as in cases of giant villous adenoma. With the introduction of screening colonoscopy , more early polyps will be detected. We should be able to customize our treatment accordingly. On one hand, we want to prevent overkill and on the other hand to avoid under-treatment. This article is aimed to review the development of TEM and discuss its various indications.

关 键 词：经肛门内镜显微手术 直肠肿瘤 适应证 

分 类 号：R735.37[医药卫生—肿瘤]