Fournier François Rouleau, Brown Carl James
Department of Surgery, St. Paul's Hospital, University of British Columbia, Vancouver, British Columbia, Canada.
Clin Colon Rectal Surg. 2022 Feb 28;35(2):99-105. doi: 10.1055/s-0041-1742109. eCollection 2022 Mar.
Transanal endoscopic surgery (TES) was introduced in the 1980s, but more widely adopted in the late 2000s with innovations in instrumentation and training. Moreover, the global adoption of minimally invasive approaches to abdominal procedures has led to translatable skills for TES among colorectal and general surgeons. While there are similarities to laparoscopic surgery, TES has unique challenges related to the narrow confines of intraluminal surgery, angled instrumentation, and relatively uncommon indications limiting the opportunity to practice. The following review discusses the current evidence on TES learning curves, including potential limitations related to the broad adoption of TES by general surgeons. This article aims to provide general recommendations for the safe expansion of TES.
经肛门内镜手术（TES）于20世纪80年代被引入，但在21世纪后期随着器械和培训方面的创新而得到更广泛的应用。此外，腹部手术微创方法在全球的采用，使得结直肠外科医生和普通外科医生具备了可转化至经肛门内镜手术的技能。虽然经肛门内镜手术与腹腔镜手术有相似之处，但它也面临着腔内手术操作空间狭窄、器械角度受限以及适应证相对不常见等独特挑战，这些因素限制了实践机会。以下综述讨论了有关经肛门内镜手术学习曲线的当前证据，包括普通外科医生广泛采用该手术可能存在的潜在局限性。本文旨在为安全推广经肛门内镜手术提供一般性建议。
