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经肛门直肠癌微创手术

Transanal minimally invasive surgery for rectal cancer.

作者信息

Devane Liam A, Burke John P, Kelly Justin J, Albert Matthew R

机构信息

Department of Colorectal Surgery Beaumont Hospital Dublin Ireland.

AdventHealth Colorectal Surgery Orlando FL USA.

出版信息

Ann Gastroenterol Surg. 2020 Oct 26;5(1):39-45. doi: 10.1002/ags3.12402. eCollection 2021 Jan.

DOI:10.1002/ags3.12402
PMID:33532679
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7832961/
Abstract

Due to the increased uptake of rectal cancer screening and the increasing rates of complete clinical response to chemoradiotherapy, more early-stage and down-staged rectal cancers are being treated. This has triggered surgeons to question the necessity for proctectomy and its associated morbidity and consider local excision and organ preservation in selected cases. Transanal minimally invasive surgery (TAMIS) has evolved as an oncologically safe yet cost-effective platform for local excision of rectal tumors using traditional laparoscopic instruments. This review highlights the recent advances and current role of TAMIS in the treatment of rectal cancer.

摘要

由于直肠癌筛查的接受度提高以及放化疗后完全临床缓解率上升，越来越多的早期和降期直肠癌得到治疗。这促使外科医生质疑直肠切除术的必要性及其相关发病率，并考虑在特定病例中进行局部切除和器官保留。经肛门微创手术（TAMIS）已发展成为一种在肿瘤学上安全且具有成本效益的平台，可使用传统腹腔镜器械对直肠肿瘤进行局部切除。本综述重点介绍了TAMIS在直肠癌治疗中的最新进展和当前作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b35/7832961/9a679ca3ab41/AGS3-5-39-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b35/7832961/0d4cb7d96a2e/AGS3-5-39-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b35/7832961/3c68c943c5a1/AGS3-5-39-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b35/7832961/9a679ca3ab41/AGS3-5-39-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b35/7832961/0d4cb7d96a2e/AGS3-5-39-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b35/7832961/3c68c943c5a1/AGS3-5-39-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b35/7832961/9a679ca3ab41/AGS3-5-39-g003.jpg

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本文引用的文献

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Organ preservation with chemoradiotherapy plus local excision for rectal cancer: 5-year results of the GRECCAR 2 randomised trial.直肠癌的放化疗联合局部切除保肛治疗：GRECCAR 2 随机试验的 5 年结果。
Lancet Gastroenterol Hepatol. 2020 May;5(5):465-474. doi: 10.1016/S2468-1253(19)30410-8. Epub 2020 Feb 7.
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Mass spectrometry transanal minimally invasive surgery (MS-TAMIS) to promote organ preservation in rectal cancer.直肠肿瘤经肛门微创手术中应用质谱分析技术以促进器官保存。
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Japanese Society for Cancer of the Colon and Rectum (JSCCR) guidelines 2019 for the treatment of colorectal cancer.
外科医生仅使用白光内窥镜和荧光增强人工智能病变分类对显著直肠息肉进行评估。
Langenbecks Arch Surg. 2024 Jun 1;409(1):170. doi: 10.1007/s00423-024-03364-2.
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Endoscopic submucosal dissection transanal endoscopic surgery for rectal tumors: A systematic review and meta-analysis.内镜下黏膜下剥离术与经肛门内镜手术治疗直肠肿瘤：一项系统评价和荟萃分析。
World J Clin Cases. 2024 Jan 6;12(1):95-106. doi: 10.12998/wjcc.v12.i1.95.
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Long-term results of minimally invasive transanal surgery for rectal tumors in 249 consecutive patients.249 例直肠肿瘤经肛门微创手术的长期疗效。
Surg Today. 2023 Mar;53(3):306-315. doi: 10.1007/s00595-022-02570-z. Epub 2022 Aug 12.
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Under any circumstances, perform the best treatment for cancer.在任何情况下，都要对癌症进行最佳治疗。
Ann Gastroenterol Surg. 2021 Jan 25;5(1):5-6. doi: 10.1002/ags3.12424. eCollection 2021 Jan.
日本结直肠癌学会（JSCCR）2019 年结直肠癌治疗指南。
Int J Clin Oncol. 2020 Jan;25(1):1-42. doi: 10.1007/s10147-019-01485-z. Epub 2019 Jun 15.
4
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Surg Endosc. 2019 Jun;33(6):1981-1987. doi: 10.1007/s00464-018-6502-8. Epub 2018 Dec 13.
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BMJ Open. 2017 Dec 28;7(12):e019474. doi: 10.1136/bmjopen-2017-019474.