腹腔镜直肠癌手术的研究现状

Current status of laparoscopic resection for rectal cancer

通过复习近年国际上针对腹腔镜和机器人辅助腹腔镜直肠癌手术的文献报道，特别是中低位直肠癌手术的随机和非对随机对照试验，讨论当前腹腔镜直肠癌手术的研究现状。虽然腹腔镜直肠癌根治术已被证实安全可行，且与传统开腹手术有相同的肿瘤学疗效，但目前为止，关于腹腔镜直肠癌手术的多中心随机对照研究有限。当前，开腹手术仍是直肠癌外科治疗的标准术式。近年来。机器人手术在其他外科领域被成功应用，但在直肠癌手术中正处于探究阶段。

This article discusses the current status of laparoscopic rectal caner resection through reviewing the recently reported randomized and non-randomized international literatures focusing on laparoscopic as well as robotic-assisted laparoscopic resection for rectal cancer, especially on laparoscopic resection for mid and low rectal cancer. Even though laparoscopic resection for rectal cancer is proven to be safe and available, and to possess same efficacy of traditional open operation, so far multi-center randomized controlled trials about this procedure are limited. Open operation is still the standard procedure for rectal cancer. Robotic-assisted operation has been successfully applied in many fields of surgery, but is still in the explorative phase for rectal cancer.