Transanal Total Mesorectal Excision: Why, When, and How

被引：40

作者：

Penna, Marta ^{[1
]}

Cunningham, Christopher ^{[1
]}

Hompes, Roel ^{[2
]}

机构：

[1] Oxford Univ Hosp, Churchill Hosp, Dept Colorectal Surg, Oxford, England

[2] Acad Med Ctr, Dept Surg, Surg Oncol & Gastrointestinal Surg, Meibergdreef 9, NL-1105 AZ Amsterdam, Netherlands

来源：

CLINICS IN COLON AND RECTAL SURGERY | 2017年 / 30卷 / 05期

关键词：

transanal; bottom-up; total mesorectal excision; rectal cancer; TRANSLUMENAL ENDOSCOPIC SURGERY; LAPAROSCOPIC-ASSISTED RESECTION; RANDOMIZED CLINICAL-TRIAL; RECTAL-CANCER; STEREOTACTIC NAVIGATION; RECTOSIGMOID RESECTION; PATHOLOGICAL OUTCOMES; TME; MICROSURGERY; EXPERIENCE;

D O I：

10.1055/s-0037-1606111

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

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.

引用

页码：339 / 345

页数：7

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