低位直肠癌诊治新理念和新技术  

New concept and technology for diagnosis and management of low rectal cancer

作　　者：叶颖江[1] 王杉[1] 

机构地区：[1]北京大学人民医院胃肠外科,北京100044

出　　处：《中国实用外科杂志》2017年第6期596-600,共5页Chinese Journal of Practical Surgery

摘　　要：低位直肠是直肠癌高发部位,是治疗的难点,因其特殊的解剖部位和功能,以及其毗邻器官的特殊功能,临床上对低位直肠癌的诊断和治疗进行着广泛而深入的研究,新技术、新理念不断出现,其中包括肛提肌外腹会阴切除术(ELAPE)、经肛门全直肠系膜切除(Ta TME),新辅助放化疗后的"等待观察"策略、延期手术和低位前切除综合征等,为低位直肠癌的个体化精确治疗奠定了基础。Low rectum is the high risk area in rectal cancer,and is difficult to manage in clinic practice. Extensive researches are being carried out in diagnosis and treatment of rectal cancer,due to its special anatomical site and function,as well as the function of adjacent organs. New techniques and conceptions include extra-levator abdominoperineal excision（ELAPE）, transanal total mesorectal excision（TaTME）, strategy of ＂watch and see＂ and delayed surgery after neoadjuvant chemoradiotherapy constantly appear,which lay the foundation for individualized precise treatment of rectal cancer.

关 键 词：低位直肠癌 肛提肌外腹会阴切除术 经肛门全 直肠系膜切除 “等待观察”策略 延期手术 

分 类 号：R6[医药卫生—外科学]