经肛全直肠系膜切除术的研究进展  

Research progress and future development prospect of transanal total mesorectal excision

作　　者：罗双灵[1] 康亮[1] Luo Shuangling;Kang Liang(Department of Colorectal Surgery,The Sixth Affiliated Hospital,Sun Yat-sen University,Guangzhou 510655,China)

机构地区：[1]中山大学附属第六医院结直肠肛门外科,广州510655

出　　处：《中华胃肠外科杂志》2021年第8期672-677,共6页Chinese Journal of Gastrointestinal Surgery

基　　金：中山大学临床医学研究5010计划项目(2016005)。

摘　　要：经肛全直肠系膜切除术(taTME)是近年来结直肠外科领域的热点之一,虽然大部分研究证实taTME安全可行,但仍有部分研究显示,taTME手术并发症发生率和局部复发率高于传统腹腔镜手术。目前研究发现,taTME在主要近期和远期疗效方面与传统腹腔镜全直肠系膜切除术(TME)差异无统计学意义,而且taTME在术后功能恢复方面具有潜在的优势。度过学习曲线后的病例研究结果提示,taTME具有较好的近、远期疗效。此外,随着taTME技术的成熟,经肛腔镜在治疗复杂盆腔疾病逐渐显现出优势,未来单孔机器人的应用将进一步促进经自然腔道行结直肠手术的开展。Transanal total mesorectal excision(taTME)is one of the hotspots in colorectal surgery in recent years.Although most studies confirm that taTME is safe and feasible,some studies still showed that the morbidity of complication and local recurrence rate of taTME were higher than traditional laparoscopic surgery.This article reviews and analyzes the short-term and long-term outcomes of taTME and the related progress of postoperative function.The results showed that there were no significant differences in the main short-term and long-term efficacy between taTME and traditional laparoscopic TME,but taTME had potential advantages in postoperative functional recovery.The results of case study after passing the learning curve suggested that taTME had better short-term and long-term efficacy.Moreover,with the maturity of taTME technology,transanal endoscopic surgery has gradually shown its advantages in the treatment of complex pelvic diseases.In the future,the application of single-port robot will further promote the development of natural orifice transluminal endoscopic colorectal surgery.

关 键 词：直肠肿瘤 全直肠系膜切除术 经肛 腹腔镜 机器人 

分 类 号：R735.37[医药卫生—肿瘤]