taTME的学习曲线和规范化培训  

The learning curve of transanal total mesorectal excision(taTME)and its stan⁃dardized training

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

机构地区：[1]中山大学附属第六医院结直肠肛门外科,广东广州510655

出　　处：《结直肠肛门外科》2022年第1期10-13,共4页Journal of Colorectal & Anal 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)经历了10余年的发展,目前仍面临着诸多挑战,主要原因在于taTME技术相对复杂,具有较长的学习曲线。多个研究数据显示taTME的学习曲线病例数为40例左右,而随着手术操作病例数的积累,taTME治疗直肠癌的近、远期疗效优势逐渐得到显现。加强规范化培训有利于减少学习曲线带来的影响,结构化培训在临床应用前的模拟手术中具有重要的意义,而循序渐进地开展经肛腔镜技术的训练可能是缩短taTME学习曲线的关键。新型手术训练模型及数字技术的应用是taTME培训的新工具,今后有可能成为规范化培训的重要组成部分。After more than 10 years of development,transanal total mesorectal excision(taTME)still faces many challenges.The main reason is that taTME technology is relatively complex and has a long learning curve.Most data show that the number of cases in the learning curve of taTME is about 40.With the accumulation of cases,the advantages of short-term and longterm efficacy of taTME are gradually reflected.Strengthening standardized training is conducive to reducing the impact of the learning curve.Structured training has important reference value in simulated surgery before clinical application,and the gradual training of transanal endoscopy may be the key to shortening the learning curve.Applying new training models and digital tech⁃nology adds new tools to taTME training and may become an important part of standardized training in the future.

关 键 词：经肛全直肠系膜切除术 学习曲线 规范化培训 

分 类 号：R-4[医药卫生] C975[经济管理—劳动经济]