摘要
经肛门全直肠系膜切除术(taTME)是一种中低位直肠癌根治性切除术的新入路,与传统的腹腔镜TME(lapTME)相比,taTME具有更好地显露直肠远端系膜间隙、狭窄骨盆手术的可操作性、精确确定远端切缘等优点,从而提高手术质量,降低副损伤。目前研究发现,taTME在主要近期和远期疗效方面与lapTEM比较差异无统计学意义,但taTME在术后功能恢复方面具有潜在的优势。本研究结合团队的临床实践经验,针对taTME国内外研究进展作一述评。
Transanal total mesorectal excision(taTME)is a novel approach to radical resection for mid or low rectal cancer.Compared with conventional laparoscopic TME(lapTME),taTME is relevant to the benefits of better vision of the distal mesorectal plane,feasibility of operating in a narrow pelvis,and exact definition of distal resection margin,which may lead to a higher possibility of free circumferential resection margin,better quality of TME specimen,and lower hurting rate.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 lapTME,but taTME had potential advantages in postoperative functional recovery.
作者
任明扬
杨选华
REN Mingyang;YANG Xuanhua(Department of Gastrointestinal Surgery, The Affiliated Nanchong Central Hospital of North Sichuan Medical College, Nanchong 637000, Sichuan, China)
出处
《西部医学》
2022年第7期937-942,共6页
Medical Journal of West China
基金
国家自然科学基金项目(81401927)
四川省卫生健康委员会基金项目(20PJ304)
四川省医学科研课题计划(S19040)
四川省医学科研课题计划(S15049)
南充市市校科技战略合作基金(19SXHZ0452)。
关键词
直肠癌
经肛门全直肠系膜切除术
近期疗效
远期疗效
Rectal cancer
Transanal total mesorectal excision
Short-term result
Long-term result
