Young Daniel Owen, Kumar Anjali S
Colorectal Surgery Program, Section of General, Thoracic, and Vascular Surgery, Virginia Mason Medical Center, 1100 9th Avenue Seattle, WA 98101, USA.
Colorectal Surgery Program, Section of General, Thoracic, and Vascular Surgery, Virginia Mason Medical Center, 1100 9th Avenue Seattle, WA 98101, USA.
Surg Clin North Am. 2017 Jun;97(3):573-585. doi: 10.1016/j.suc.2017.01.007.
Local excision (LE) of early-stage rectal cancer avoids the morbidity associated with radical surgery but has historically been associated with inferior oncologic outcomes. Newer techniques, including transanal endoscopic microsurgery (TEM) and transanal minimally invasive surgery (TAMIS), have been developed to improve the quality of LE and extend the benefits of LE to tumors in the more proximal rectum. This article provides an overview of conventional LE, TEM, and TAMIS techniques, including indications for their use and pertinent literature on their associated outcomes for rectal cancer.
早期直肠癌的局部切除（LE）可避免根治性手术相关的发病率，但从历史上看，其肿瘤学结局较差。包括经肛门内镜显微手术（TEM）和经肛门微创手术（TAMIS）在内的新技术已被开发出来，以提高局部切除的质量，并将局部切除的益处扩展到直肠更上段的肿瘤。本文概述了传统的局部切除、TEM和TAMIS技术，包括它们的使用指征以及关于其直肠癌相关结局的相关文献。
