经肛门全直肠系膜切除术：为何、何时及如何进行。
Transanal Total Mesorectal Excision: Why, When, and How.
作者信息
Penna Marta, Cunningham Christopher, Hompes Roel
机构信息
Department of Colorectal Surgery, Churchill Hospital, Oxford University Hospitals, Oxford, United Kingdom.
Surgical Oncology and Gastrointestinal Surgery, Department of Surgery, Academic Medical Center, Amsterdam, The Netherlands.
出版信息
Clin Colon Rectal Surg. 2017 Nov;30(5):339-345. doi: 10.1055/s-0037-1606111. Epub 2017 Nov 27.
Abstract
Transanal total mesorectal excision (taTME) has evolved over the past decade fueled by advances in minimally invasive surgery. The technique aims to overcome the constraints posed by a narrow rigid pelvis and poor TME visualization that are encountered during "top-down" rectal surgery. A more accurate pelvic dissection should subsequently result in safer oncological resections and better preservation of pelvic autonomic nerves. taTME is an advanced complex technique that requires dedicated training and experience in TME surgery. Initial results from small cohorts are promising and confirmation by randomized controlled trials is eagerly awaited.
摘要
经肛门全直肠系膜切除术（taTME）在过去十年中随着微创手术的进展而不断发展。该技术旨在克服“自上而下”直肠手术中遇到的狭窄刚性骨盆和全直肠系膜可视化不佳所带来的限制。更精确的盆腔解剖随后应能实现更安全的肿瘤切除并更好地保留盆腔自主神经。taTME是一项先进的复杂技术，需要在全直肠系膜切除术方面进行专门培训并积累经验。小样本队列的初步结果很有前景，人们急切期待随机对照试验的证实。
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