完全经肛门TME腹腔镜直肠癌手术的实践与技巧 |
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引用本文: | 杨盈赤,金岚,张忠涛.完全经肛门TME腹腔镜直肠癌手术的实践与技巧[J].中华普外科手术学杂志(电子版),2016(2):97-100. |
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作者姓名: | 杨盈赤 金岚 张忠涛 |
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作者单位: | 100050 北京,首都医科大学附属北京友谊医院普外科; 国家消化系统疾病临床研究中心 |
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基金项目: | 首都医科大学基础-临床科研合作基金(16JL37)FundingScientific cooperation foundation of fundamental and clinical research of Capital Medical University (16JL37) |
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摘 要: | 直肠癌的外科治疗经历了一个漫长的发展过程,全直肠系膜切除术(TME)的提出是一个里程碑,而同腹腔镜技术的结合使TME手术进入了微创时代。尽管与开放TME手术有同样的肿瘤根治效果,但在术后严重并发症的发生率及术后住院时间方面并无优势,因此无腹部辅助切口的完全腹腔镜TME技术:经肛全直肠系膜切除术(Ta TME)成为新热点。而进一步提出的完全经肛门TME手术(pure-NOTES Ta TME)更是将微创理念发挥到新的高度,并颠覆了常规直肠癌外科治疗自下而上的操作顺序,逆行经肛门进行TME。国内外学者非常关注这个新的理念的提出,笔者所在中心也开展了该术式并总结了一些经验和技巧。
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关 键 词: | 直肠肿瘤 肠系膜 腹腔镜检查 |
Pure NOTES transanal total mesorectal excision |
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Abstract: | Surgical treatment for rectal cancer has experienced a long development process and the Total Mesorectal Excision (TME) is a milestone.With the advent of laparoscopic technique, laparoscopic TME has been developing rapidly.Laparoscopic TME is minimally invasive , but causes complications and longer hospitalization after operation.Hence, transanal total mesorectal excision (TaTME) has become a hot topic.It subverts the conventional surgical treatment for rectal cancer surgery , and researchers have also paid close attention to this concept .The author and colleagues have performed this operation and would like to share our experience with others . |
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Keywords: | Rectal neoplasms Mesentery Laparoscopy |
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