直肠癌腹腔镜全直肠系膜切除术的层面显露与团队配合  

Laparoscopic total mesorectal excision for rectal cancer:layer exposure and team cooperation

作　　者：白明瀚[1] 陈北峰 孙凌宇[1] 王一民 郑宏群[1] Bai Minghan;Chen Beifeng;Sun Lingyu;Wang Yimin;Zheng Hongqun(Department of Oncology Surgery,The Fourth Affiliated Hospital of Harbin Medical University,Harbin 150000,Heilongjiang,China;Department of Anorectal Surgery,Songshan Hospital in Chifeng,Chifeng 024005,Inner Mongolia,China)

机构地区：[1]哈尔滨医科大学附属第四医院肿瘤外科,黑龙江哈尔滨150000 [2]内蒙古赤峰松山医院肛肠科,内蒙古赤峰024005

出　　处：《结直肠肛门外科》2024年第4期401-407,434,共8页Journal of Colorectal & Anal Surgery

摘　　要：全直肠系膜切除术是直肠癌手术的“金标准”,国内外多项临床研究证实由经验丰富的外科医师实施腹腔镜全直肠系膜切除术与开腹手术具有相似的短期和长期结局。完成高质量的腹腔镜全直肠系膜切除术有赖于直肠周围筋膜的显露与辨识,在此过程中术者、助手以及扶镜手的团队配合至关重要。本文结合笔者团队手术的配合经验和流程,采用分场景的方式对直肠癌腹腔镜全直肠系膜切除术中层面的显露和团队的配合进行阐述。Total mesorectal excision(TME)is the“gold standard”for rectal cancer surgery.Multiple clinical studies in domestic and international have confirmed that laparoscopic TME performed by experienced surgeons has similar shortand long-term outcomes as open surgery.Achieving high-quality laparoscopic TME relies heavily on the exposure and identification of the fascial surrounding the rectum,during which the team cooperation among the surgeon,assistants,and the camera-holding assistant is crucial.Based on our team’s surgical experience and procedures,this article elaborates on the layer exposure and team cooperation during laparoscopic TME for rectal cancer through scenario-based descriptions.

关 键 词：直肠癌 腹腔镜全直肠系膜切除术 层面显露 团队配合 

分 类 号：R735.3[医药卫生—肿瘤]