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中华结直肠疾病电子杂志 ›› 2015, Vol. 04 ›› Issue (01) : 15 -19. doi: 10.3877/cma.j.issn.2095-3224.2015.01.04

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经肛门直肠镜下的微创外科技术在直肠癌治疗中的应用
夏立建1()   
  1. 1. 250014 济南,山东省千佛山医院胃肠外科
  • 收稿日期:2014-12-26 出版日期:2015-02-25
  • 通信作者: 夏立建
  • 基金资助:
    山东省自然科学基金资助项目(ZR2009CL019)

The application of transanal endoscopic microsurgery in rectal cancer treatment

Li-jian XIA1,()   

  1. 1. Department of Gastroenterology Surgery of Shandong Qianfoshan Hospital, JINAN 250014, China
  • Received:2014-12-26 Published:2015-02-25
  • Corresponding author: Li-jian XIA
  • About author:
    Corresponding author: XIA Li-jian, Email:
引用本文:

夏立建. 经肛门直肠镜下的微创外科技术在直肠癌治疗中的应用[J]. 中华结直肠疾病电子杂志, 2015, 04(01): 15-19.

Li-jian XIA. The application of transanal endoscopic microsurgery in rectal cancer treatment[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2015, 04(01): 15-19.

经肛门直肠镜下的微创外科(transanal endoscopic microsurgery,TEM)不仅是经肛切除直肠肿瘤的一种新方法,而且是一种可切除低位、中位和高位直肠的微创技术。和传统的经肛切除相比,TEM暴露的视野更大,复发率更低,并发症更少,具有更好的精准切除等优点。而且对于一些病例来说比开腹或腹腔镜和低位前切除更有效。在严格的病例选择和准确的术前分期的前提下,TEM是一种安全的、可重复的治疗低风险的T1期肿瘤技术。本文介绍了TEM在直肠癌治疗中的应用。

TEM is not only an additional tool for transanal resection of rectal tumor, but also a minimally invasive technique for treating tumors in the low, middle, and upper rectum.Compared with conventional transanal resection, TEM provides superior tumor exposure higher in the rectum, a lower local recurrence rate and a lower complication rate.With strict patient selection and precise preoperative staging, the use of TEM for the treatment of low-risk T1 carcinoma is a safe and reproducible technique.

图1 TEM手术操作示意图
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