摘要
腹腔镜全直肠系膜切除术(TME)治疗中低位直肠癌仍然限于临床研究,其原因是腹腔镜TME难度大、直肠末端裸化困难及难以保证远切端切缘阴性,在肥胖及盆腔小的患者中尤为明显。但越来越多的临床试验证明腹腔镜TME可达到与开腹手术同样的根治效果,并具有创伤小、术后恢复快和并发症少等优点。因此有必要对TME的难点和争议进行探讨,有助于进一步提高对腹腔镜TME的认识。
Laparoscopic total mesorectal excision （ TME ） for mid/low rectal carcinoma is still not regularly recommended without clinical research, because of its difficulties in laparoscopic operation, mobilization of the rectal end and attainment of negative distal resection margin, especially in the fatty patient and the patient with small pelvic cavity. Compared to open surgery, laparoseopic TME has the same surgical and oncological outcomes with the advantages of minimal invasion, faster recovery and fewer complications, proved by more and more clinical trials. To further improve the knowledge on laparoscopic TME, the difficulties and disputes on laparoscopic TME are under discussion in this article.
出处
《中华腔镜外科杂志（电子版）》
2012年第1期5-8,共4页
Chinese Journal of Laparoscopic Surgery(Electronic Edition)
作者简介
通讯作者:池畔,男,福建医科大学附属协和医院普通外科(结直肠外科)科主任、教授、博士生导师,中华医学会外科学分会结直肠肛门外科学组委员,中国抗癌协会大肠癌专业委员会腹腔镜外科学组副组长,福建省外科学会副主任委员,中华胃肠外科杂志、中华消化外科杂志、中华腔镜外科杂志(电子版)、中华普外科手术学杂志(电子版)、中国实用外科杂志等杂志编委。是国内最早开展腹腔镜结直肠癌根治术的医师之一,目前已行该术1700余例,数量居国内前列。首先在国内开展腹腔镜下D3式右半结肠切除术,在国际上首先提出腹腔镜下骶前隧道式分离法行TME及盆腔入路括约肌间超低位直肠前切除术。在国内20余家院校举办的国际与国内学术会议上现场演示“腹腔镜下结直肠癌根治术”。受到同行广泛赞誉,E-mail:cp3169@163.com
