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直肠癌的局部切除:一种微创选择。

Local excision for rectal cancer: a minimally invasive option.

作者信息

Allaix Marco E, Arezzo Alberto, Nestorović Milica, Galosi Bianca, Morino Mario

机构信息

Department of Surgical Sciences, University of Turin, Turin, Italy.

Department of Surgical Sciences, University of Turin, Turin, Italy -

出版信息

Minerva Chir. 2018 Dec;73(6):548-557. doi: 10.23736/S0026-4733.18.07702-7. Epub 2018 Apr 13.

Abstract

Transanal excision (TAE) with conventional retractors and transanal endoscopic microsurgery (TEM) are two well established minimally invasive surgical options for the treatment of selected rectal cancers. TEM is nowadays considered the standard of care for the transanal excision of rectal tumors, since it is associated with significantly better quality of excision and lower rates of recurrence than TAE. When compared with rectal resection and total mesorectal excision, TEM has lower postoperative morbidity and better functional outcomes, with similar long-term survival rates in selected early rectal cancers. More recently, transanal minimally invasive surgery (TAMIS) has been developed as an alternative to TEM. Possible benefits of TAMIS are under evaluation.

摘要

使用传统牵开器进行经肛门切除术(TAE)和经肛门内镜显微手术(TEM)是治疗特定直肠癌的两种成熟的微创手术选择。如今,TEM被认为是经肛门切除直肠肿瘤的标准治疗方法,因为与TAE相比,它具有明显更好的切除质量和更低的复发率。与直肠切除术和全直肠系膜切除术相比,TEM术后发病率更低,功能结局更好,在特定早期直肠癌中具有相似的长期生存率。最近,经肛门微创手术(TAMIS)已被开发出来作为TEM的替代方法。TAMIS的潜在益处正在评估中。

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