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经肛门内镜微创手术应用的新进展
引用本文:薛晓强,林国乐. 经肛门内镜微创手术应用的新进展[J]. 中华结直肠疾病电子杂志, 2019, 8(2): 109-114. DOI: 10.3877/cma.j.issn.2095-3224.2019.02.001
作者姓名:薛晓强  林国乐
作者单位:1. 100730 北京,中国医学科学院 北京协和医学院 北京协和医院基本外科
基金项目:北京市科技重大专项基金(No.D171100002617003); 2014年度北京协和医学院青年教师培养项目(No.2014zlgc0720)
摘    要:经肛门内镜微创手术(TEM)作为一项结合了内镜技术和微创手术共同优势的手术操作技术,于1983年首次与世人见面。该技术以其放大达裸眼6倍的三维手术视野,使得术者可以充分、精准地全层切除复杂的直肠病灶。此篇述评结合了国内外相关文献和笔者自身临床实践的经验,将在TEM的术前评估、传统适应证和治疗直肠疾病的创新应用上进行综述。

关 键 词:直肠肿瘤  外科手术,微创性  经肛门内镜微创手术  适应证  应用  
收稿时间:2018-07-17

Updates on the applications and indications of the technique of transanal endoscopic microsurgery
Xiaoqiang Xue,Guole Lin. Updates on the applications and indications of the technique of transanal endoscopic microsurgery[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2019, 8(2): 109-114. DOI: 10.3877/cma.j.issn.2095-3224.2019.02.001
Authors:Xiaoqiang Xue  Guole Lin
Affiliation:1. Department of General Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing 100730, China
Abstract:First introduced in the year of 1983, transanal endoscopic microsurgery (TEM) is a surgical technique that takes full advantages of both endoscopy and minimally invasive surgery. The technique allows the surgeon to excision of complex rectal lesions fully and accurately with a three-dimensional surgical view of 6 times the size of the naked eye. This article was developed on our own clinical experience and large-scale paper review to illustrate the preoperative assessment of the technique of transanal endoscopic microsurgery, as well as unveil its traditional indications and innovative applications on treating rectal diseases.
Keywords:Rectal neoplasms  Surgical procedures   minimally invasive  Transanal endoscopic microsurgery  Indications  Application  
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