低位直肠癌腹腔镜保肛手术学习曲线和技术准入

Learning curve and technical admission of laparoscopic sphincter-preserving surgery for low rectal cancer

腹腔镜低位直肠癌保肛手术发展迅猛。影响腹腔镜低位直肠癌保肛手术学习曲线的因素包括术者有无腹腔镜和开腹手术经验、手术中团队的配合、合理的病例选择等。而在近年来在机器人系统,3D腹腔镜系统等新兴手术平台基础上开展的腹腔镜低位直肠保肛手术,对其学习曲线亦产生相当的影响。在技术飞速发展的今天,合理的技术准入制度,对于难度相对较高的腹腔镜低位直肠癌保肛手术的规范化推广和发展显得尤为重要。

Laparoscopic sphincter-preserving surgery for low rectal cancer has been applied and increased significantly in the surgical management of rectal cancer in recent years. The learning curve of laparoscopic sphincter-preserving surgery depends not only on the clinical experience and operation skills of a surgeon,but also on the coordination of surgery team and appropriate selection of the patients. Robotic system and 3 D system also have effect on the learning curve of laparoscopic sphincter-preserving surgery in the current situation. A reasonable technical admission of the laparoscopic sphincter-preserving surgery for low rectal cancer is important to make the surgery widespread in the near future.