腹腔镜结直肠癌手术的质量控制  

Quality control of laparoscopic colorectal surgery

作　　者：何金杰[1] 丁克峰[1] 

机构地区：[1]浙江大学医学院附属第二医院肿瘤外科,杭州310009

出　　处：《中华胃肠外科杂志》2015年第8期759-762,共4页Chinese Journal of Gastrointestinal Surgery

基　　金：中国国家卫生行业公益基金（201402015）

摘　　要：全直肠系膜切除术（TME）在直肠癌手术中其标准化地位的确立以及严格的手术质量评估的引入，使直肠癌的手术质量得到大幅度提高，患者术后局部复发率下降，明显提高了生存率。 TME成为手术质量控制和改善治疗结局的典范。鉴于此，近年来有人相继提出完整结肠系膜切除术（CME）和肛提肌外腹会阴联合切除术（ELAPE）作为相应的质量控制手术，初步研究结果显示，同样能改善治疗效果。腹腔镜在结直肠癌手术中的应用越来越普及。腹腔镜TME和CME手术将进一步改善结直肠癌的整体治疗结局。Total mesorectal excision （TME） has become the standardized modality in rectal cancer surgery. The strict quality control of surgery has been introduced. The improvement of surgery quality resulted in the decrease of local recurrence rate and the increase of survival rate. TME becomes the model that quality control of surgery improved outcomes. In view of this, in recent years, complete mesocolic excision （CME） and extralevator abdominoperineal excision （ELAPE） have been established as the corresponding standardized procedures, which shows the preliminary clinical effects. Utilization of laparoscopic surgery for management of colorectal cancer has been widely accepted. Laparoscopic TME and CME will further improve the overall outcomes of colorectal cancer.

关 键 词：结直肠肿瘤 全直肠系膜切除术 完整结肠系膜切除术 肛提肌外腹会阴联合切除术 腹腔镜 

分 类 号：R735.34[医药卫生—肿瘤]