经肛腔镜手术入路在全直肠系膜切除术以外的应用  

Application in addition to total mesorectal excision of transanal endoscopic surger approach

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,P.R.China)

机构地区：[1]中山大学附属第六医院结直肠外科,广州510655

出　　处：《中国普外基础与临床杂志》2023年第12期1415-1420,共6页Chinese Journal of Bases and Clinics In General Surgery

基　　金：中山大学临床医学研究5010计划项目(项目编号:2016005);广州市科技计划项目(项目编号:202201011199)。

摘　　要：经肛全直肠系膜切除术(transanal total mesorectal excision,taTME)经过10余年的发展,目前已经在低位直肠癌保肛手术中占有重要地位。现有研究表明,taTME在治疗低位直肠癌的短期疗效和远期疗效方面与传统腹腔镜无显著差异,而taTME在术后功能恢复方面具有潜在的优势。随着taTME技术的成熟,经肛腔镜手术入路也逐渐在临床被应用于其他直肠肿瘤及吻合口狭窄、侧方淋巴结清扫等场景。临床实践表明,经肛腔镜入路能更精准地对盆腔组织进行解剖游离,大大降低了复杂盆腔疾病的手术难度,提高手术安全性,为临床提供了新的思路。After more than 10 years of development,transanal total mesorectal excision(taTME)has played an important role in anus-preserving surgery for low rectal cancer.Existing studies have shown that taTME is not significantly different from traditional laparoscopy in the short-term and long-term efficacy of the treatment oflow rectal cancer,and that taTME has potential advantages in postoperative functional recovery.With the maturity of taTME technology,transanal endoscopic approach has gradually been clinically applied to other rectal tumors,anastomotic stenosis,lateral lymph node dissection and other scenarios.Clinical practice shows that the transanal endoscopic approach can dissect pelvic tissues more accurately,greatly reduce the difficulty of surgery for complex pelvic diseases,improve the safety of surgery,and provide new ideas for clinical practice.

关 键 词：经肛腔镜手术 经肛全直肠系膜切除术 

分 类 号：R735.37[医药卫生—肿瘤]