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中华结直肠疾病电子杂志 ›› 2017, Vol. 06 ›› Issue (05) : 417 -420. doi: 10.3877/cma.j.issn.2095-3224.2017.05.014

所属专题: 文献

综述

腹腔镜与开腹全直肠系膜切除术环周切缘状态研究进展
陈佳楠1, 刘骞1,()   
  1. 1. 100021 北京,国家癌症中心/中国医学科学院北京协和医学院肿瘤医院结直肠外科
  • 收稿日期:2016-12-24 出版日期:2017-10-25
  • 通信作者: 刘骞
  • 基金资助:
    国家重点研发计划精准医学专项(No.2016YFC905301)

Laparoscopic and open surgery for rectal cancer: current status in total mesorectal excision and circumferential resection margin

Jianan Chen1, Qian Liu1,()   

  1. 1. Department of Colorectal Surgery, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
  • Received:2016-12-24 Published:2017-10-25
  • Corresponding author: Qian Liu
  • About author:
    Corresponding author: Liu Qian, Email:
引用本文:

陈佳楠, 刘骞. 腹腔镜与开腹全直肠系膜切除术环周切缘状态研究进展[J/OL]. 中华结直肠疾病电子杂志, 2017, 06(05): 417-420.

Jianan Chen, Qian Liu. Laparoscopic and open surgery for rectal cancer: current status in total mesorectal excision and circumferential resection margin[J/OL]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2017, 06(05): 417-420.

结直肠癌是最常见的恶性肿瘤之一。近年来腹腔镜被广泛的应用于结直肠手术中,腹腔镜结肠癌根治术已经被很多大规模随机对照研究证实与开腹手术具有相同的手术效果,然而有关腹腔镜全直肠系膜切除术的手术效果,尤其是在病理学效果上仍存在争议,其高质量的多中心大规模随机对照研究仍较缺乏。本文结合近几年国内外的相关研究及报道,将腹腔镜全直肠系膜切除术的病理学效果的研究进展做一总结。

Colorectal cancer is one of the most common malignant tumors. In recent years, Laparoscopy is widely used in colorectal surgery, laparoscopic surgery for colon cancer has been confirmed by lots of large-scale randomized controlled trials to have the same effect with open operation, however some study have shown that oncological outcomes and total mesorectal excision rates in laparoscopic rectal surgery are controversial. According to the relevant reports and researches in recent years, this article will summarize the laparoscopic total mesorectal excision in oncology aspect.

[1]
Chen W, Zheng R, Baade PD, et al. Cancer statistics in China, 2015[J]. CA Cancer J Clin, 2016, 66(2):115-132.
[2]
Slaney G. Results of treatment of carcinoma of the colon and rectum[J]. Mod Trends Surg, 1971, 3(4):69-89.
[3]
Heald R J, Ryall R D. Recurrence and survival after total mesorectal excision for rectal cancer[J]. Lancet, 1986, 1(8496):1479-1482.
[4]
Jeong SY, Ji WP, Nam BH, et al. Open versus laparoscopic surgery for mid-rectal or low-rectal cancer after neoadjuvant chemoradiotherapy (COREAN trial): survival outcomes of an open-label, non-inferiority, randomised controlled trial[J]. Lancet Oncology, 2014, 15(7):767-774.
[5]
Laurent C, Leblanc F, Wutrich P, et al. Laparoscopic versus open surgery for rectal cancer: long-term oncologic results[J]. Annals of Surgery, 2009, 250(1):54-61.
[6]
Veldkamp R, Kuhry E, Hop WC, et al. Laparoscopic surgery versus open surgery for colon cancer: short-term outcomes of a randomised trial[J]. Lancet Oncology, 2005, 6(7):477-484.
[7]
Berends FJ, Kazemier G, Bonjer HJ, et al. Subcutaneous metastases after laparoscopic colectomy[J]. Lancet, 1994, 344(8914):58-66.
[8]
Cirocco WC, Schwartzman A, Golub RW. Abdominal wall recurrence after laparoscopic colectomy for colon cancer[J]. Surgery, 1994, 116(5):842-846.
[9]
Green BL, Marshall HC, Collinson F, et al. Long-term follow-up of the Medical Research Council CLASICC trial of conventional versus laparoscopically assisted resection in colorectal cancer[J]. Br J Surg, 2013, 100(1):75-82.
[10]
Huscher CG, Bretagnol F, Corcione F. Laparoscopic Colorectal Cancer Resection in High-Volume Surgical Centers: Long-Term Outcomes from the LAPCOLON Group Trial[J]. World J Surg, 2015, 39(8):2045-2051.
[11]
Schiphorst AH, Verweij NM, Pronk A, et al. Non-surgical complications after laparoscopic and open surgery for colorectal cancer - A systematic review of randomised controlled trials[J]. Eur J Surg Oncol, 2015, 41(9):1118-1127.
[12]
Cecil TD, Sexton R, Moran BJ, et al. Total Mesorectal Excision Results in Low Local Recurrence Rates in Lymph Node-Positive Rectal Cancer[J]. Diseases of the Colon & Rectum, 2004, 47(7):1145-1150.
[13]
Faerden AE, Naimy N, Wiik P, et al. Total mesorectal excision for rectal cancer: difference in outcome for low and high rectal cancer[J]. Diseases of the Colon & Rectum, 2005, 48(12):2224-2231.
[14]
Wibe A, Rendedal PR, Svensson E, et al. Prognostic significance of the circumferential resection margin following total mesorectal excision for rectal cancer[J]. Br J Surg, 2002, 89(3):327-334.
[15]
Nagtegaal ID, Marijnen CA, Kranenbarg EK, et al. Circumferential margin involvement is still an important predictor of local recurrence in rectal carcinoma: not one millimeter but two millimeters is the limit[J]. Am J Surg Pathol, 2002, 26(3):350-357.
[16]
Glynne-Jones R, Mawdsley S, Novell JR. The clinical significance of the circumferential resection margin following preoperative pelvic chemo-radiotherapy in rectal cancer: why we need a common language[J]. Colorectal Dis, 2006, 8(9):800-807.
[17]
Compton CC. Key issues in reporting common cancer specimens: problems in pathologic staging of colon cancer[J]. Arch Pathol Lab Med, 2006, 130(3):318-324.
[18]
Nagtegaal ID, Cj VDV, Van DWE, et al. Macroscopic evaluation of rectal cancer resection specimen: clinical significance of the pathologist in quality control[J]. Journal of Clinical Oncology Official Journal of the American Society of Clinical Oncology, 2002, 20(7):1729-1734.
[19]
Biffl WL, Moore EE, Moore FA, et al. Interleukin-6 in the injured patient. Marker of injury or mediator of inflammation?[J]. Annals of Surgery, 1996, 224(5):647-664.
[20]
Veenhof AA FA, Sietses C, Blomberg BMEV, et al. The surgical stress response and postoperative immune function after laparoscopic or conventional total mesorectal excision in rectal cancer: a randomized trial[J]. International Journal of Colorectal Disease, 2011, 26(1):53-59.
[21]
Allendorf JD, Bessler M, Whelan RL, et al. Postoperative immune function varies inversely with the degree of surgical trauma in a murine model[J]. Surgical Endoscopy, 1997, 11(5):427-430.
[22]
Veenhof AAFA, Sietses C, Blomberg BMEV, et al. The surgical stress response and postoperative immune function after laparoscopic or conventional total mesorectal excision in rectal cancer: a randomized trial[J]. International Journal of Colorectal Disease, 2011, 26(1):53-61.
[23]
Pascual M, Salvans S, Pera M. Laparoscopic colorectal surgery: current status andimplementation of the latest technological innovations[J]. World Journal of Gastroenterology, 2016, 22(2):704-717.
[24]
Liu C, Liu J, Zhang S. Laparoscopic versus conventional open surgery for immune function in patients with colorectal cancer[J]. International Journal of Colorectal Disease, 2011, 26(11):1375-1385.
[25]
Arezzo A, Passera R, Scozzari G, et al. Laparoscopy for rectal cancer reduces short-term mortality and morbidity: results of a systematic review and meta-analysis[J]. International Journal of Colorectal Disease, 2015, 30(11):1457-1472.
[26]
Yamamoto S, Fujita S, Ishiguro S, et al. Wound infection after a laparoscopic resection for colorectal cancer[J]. Surgery Today, 2008, 38(7):618-622.
[27]
Fleshman J, Branda M, Sargent DJ, et al. Effect of Laparoscopic-Assisted Resection vs Open Resection of Stage II or III Rectal Cancer on Pathologic Outcomes: The ACOSOG Z6051 Randomized Clinical Trial[J]. Jama, 2015, 314(13):1346-1351.
[28]
Stevenson AR, Solomon MJ, Lumley JW, et al. Effect of Laparoscopic-Assisted Resection vs Open Resection on Pathological Outcomes in Rectal Cancer: The ALaCaRT Randomized Clinical Trial[J]. Jama the Journal of the American Medical Association, 2015, 314(13):1356-1360.
[29]
Guillou PJ, Quirke P, Thorpe H, et al. Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre, randomised controlled trial[J]. Lancet, 2005, 365(9472):1718-1722.
[30]
Lujan J, Valero G, Hernandez Q, et al. Randomized clinical trial comparing laparoscopic and open surgery in patients with rectal cancer[J]. British Journal of Surgery, 2009, 96(12):1493-1494.
[31]
Pas MHVD, Haglind E, Cuesta MA, et al. Laparoscopic versus open surgery for rectal cancer (COLOR II): short-term outcomes of a randomised, phase 3 trial[J]. Lancet Oncology, 2013, 14(3):210-218.
[32]
Bonjer HJ, Deijen CL, Abis GA, et al. A randomized trial of laparoscopic versus open surgery for rectal cancer[J]. New England Journal of Medicine, 2015, 372(14):1324-1330.
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