Ji J F, Wu A W
Department of Gastrointestinal Surgery, Peking University Cancer Hospital and Beijing Institute for Cancer Research, Key Laboratory of Carcinogenesis and Tanslational Research (Ministry of Education), Beijing 100142, China.
Zhonghua Wai Ke Za Zhi. 2017 Jul 1;55(7):481-485. doi: 10.3760/cma.j.issn.0529-5815.2017.07.001.
Laparoscopic surgery has been increasingly used in rectal cancer surgery. Though there are still some controversies, most of the research results support that the outcome is similar for rectal cancer patients with either laparoscopic or open surgery, in term of short-term such as safety and efficacy and long-term such as oncologic outcome. Standardization of laparoscopic training together with the comprehensive management concept are the prerequisites of laparoscopic rectal cancer surgery. Those doctors who do minimally invasive surgery should follow the rationale that smaller incision and sphincter preservation are secondary to safety and oncological result of the patients. It is the comprehensive management and personalized treatment that bring opportunities for the continuous development and innovation of innovative technologies and concepts, for example, non-operative treatment, endoscopic therapy, natural orifice transluminal endoscopic surgery, single incision laparoscopic surgery, and robotic surgery. And they may finally lead to better outcome and quality of life for the patients.
腹腔镜手术在直肠癌手术中的应用越来越广泛。尽管仍存在一些争议，但大多数研究结果支持，无论是腹腔镜手术还是开放手术，直肠癌患者在短期（如安全性和有效性）和长期（如肿瘤学结局）方面的结果相似。腹腔镜培训的标准化以及综合管理理念是腹腔镜直肠癌手术的先决条件。那些进行微创手术的医生应遵循这样的原则，即较小的切口和括约肌保留相对于患者的安全性和肿瘤学结果而言是次要的。正是综合管理和个性化治疗为创新技术和理念（如非手术治疗、内镜治疗、经自然腔道内镜手术、单切口腹腔镜手术和机器人手术）的持续发展和创新带来了机遇。而这些最终可能为患者带来更好的结局和生活质量。
