摘要
腹腔镜直肠癌根治术在结直肠外科相当普及。在保证肿瘤安全性的前提下,经肛门内镜微创手术(TEM)与经肛门微创手术(TAMIS)诞生,旨在降低手术操作难度、优化根除率、提高手术经济效益、加快患者术后恢复。近年来,TAMIS术式的优势逐渐被发掘。较TEM而言,TAMIS的手术费用低、学习曲线短、术后并发症少,有很高的临床价值。本综述将从TAMIS的发展历程与临床运用对该术式进行介绍。
Laparoscopic radical resection of rectal cancer is a common practice in the field of colorectal surgery.Ensuring oncologic safety,the occurring practices of transanal endoscopic microsurgery(TEM)and transanal minimally invasive surgery(TAMIS)aims at lowering operation difficulty,optimizing eradication rate,developing economic efficiency and improving post-operative recovery.In recent years,the unique advantages of TAMIS are gradually being recognized.Comparing to TEM,TAMIS has a lower surgery cost,flatter learning curve and fewer post-operative complications,indicating high clinical value.This review will give an introduction of TAMIS from its development,clinical application and prospect.
作者
郝孜斅
顾磊
Hao Zixiao;Gu Lei(Department of Gastrointestinal Surgery,Renji Hospital,School of Medicine,Shanghai Jiao Tong University,Shanghai 200127,China)
出处
《国际外科学杂志》
2019年第12期854-856,共3页
International Journal of Surgery
关键词
直肠肿瘤
结直肠外科手术
综述
直肠癌根治术
经肛门内镜微创手术
Rectal neoplasms
Colorectal surgery
Review
Rectal cancer eradication
Transanal minimally invasive surgery
