中国经肛腔镜手术专家共识及操作指南(2023版)  

Consensus and operating guidelines of Chinese experts on transanal endoscopic surgery(2023 edition)

作　　者：中国医师协会外科医师分会经肛腔镜外科专家工作组 康亮 罗双灵 张兴伟 丁克峰 杜晓辉[4] 冯波[5] 申占龙[6] 陶凯雄[7] 童卫东 王自强 肖毅[10] 张宏[11] Chinese Society of Transanal Total Mesorectal Excision(CSTa);Kang Liang

机构地区：[1]不详 [2]中山大学附属第六医院 [3]浙江大学附属第二医院 [4]解放军总医院 [5]上海交通大学医学院附属瑞金医院 [6]北京大学人民医院 [7]华中科技大学同济医学院附属协和医院 [8]陆军军医大学大坪医院 [9]四川大学华西医院 [10]北京协和医院 [11]中国医科大学附属盛京医院

出　　处：《中华胃肠外科杂志》2023年第8期729-739,共11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：尽管经肛腔镜手术已经发展了40多年,但对国内大部分同行来说,相对仍显陌生。2019年,中国医师协会外科医师分会经肛门全直肠系膜切除术专业委员会联合结直肠外科医师委员会组织国内专家撰写并发布了《中国经肛腔镜手术专家共识(2019版)》,详细阐述了经肛腔镜手术的定义、手术方式、适应证、禁忌证、基本原则、关键问题及并发症,为国内经肛腔镜手术的开展提供了一定的理论依据。四年来,经肛腔镜技术的应用范围不断得到拓展,众多前瞻性或回顾性临床研究结果的发表,对其疗效也提供了更多的循证医学证据。因此,中国医师协会外科医师分会经肛腔镜外科专家工作组再次组织国内部分专家,撰写了《中国经肛腔镜手术专家共识及操作指南(2023版)》,针对经肛腔镜手术的定义、适应证、并发症及学习曲线等专家共识意见进行更新,并增加操作指南,期望能够推动经肛腔镜手术规范化开展并缩短学习曲线。Although transanal endoscopic surgery has been developed for more than 40 years,it remains relatively unknown to most domestic colleagues.In 2019,the Chinese Society of Transanal Total Mesorectal Excision(CSTa)and the Chinese Society of Colon and Rectal Surgeons(CSCRS)organized domestic experts to write and publish the"Chinese Expert Consensus on Transanal Endoscopic Surgery(2019 Edition)",which elaborated on the definition,surgical methods,indications,contraindications,basic principles,key issues and complications of transanal endoscopic surgery,and provided a certain theoretical foundation for the development of transanal endoscopic surgery in China.In the past four years,the scope of application of transanal endoscopic techniques has been expanded,and many prospective and retrospective clinical research have provided more evidence-based medical evidence.Therefore,the Chinese Society of Transanal Total Mesorectal Excision(CSTa)once again organized domestic experts to write the"Expert Consensus and Operation Guidelines for Transanal Endoscopic Surgery in China(2023 Edition)",updating the expert consensus opinions on the definition,indications,complications and learning curve of transanal endoscopic surgery and adding operation guidelines.The aim is to promote the standardized practices in transanal endoscopic surgery and facilitate a shorter learning curve for surgeons.

关 键 词：经自然腔道手术 经肛全直肠系膜切除 经肛腔镜手术 专家共识 操作指南 

分 类 号：R657.1[医药卫生—外科学]