腹腔镜结直肠手术--我们是否进入了完整系膜切除时代

Laparoscopic surgery for colorectal cancer：are we in the era of complete mesentery excision？

直肠癌手术中的完整系膜切除已获得学术界的广泛认可。而结肠癌手术就解剖学、胚胎学和外科学等不同角度而言，目前对其的认识上仍有差异；但完整系膜切除在腹腔镜结肠癌根治术中从技术上讲安全可行，且手术标本可以达到病理学上的根治要求。因此，腹腔镜在技术层面上并非完整系膜切除的障碍。虽然需进一步明确完整系膜切除在结直肠肿瘤远期疗效方面的优势，但作为一个概念，其对于手术技术的提高及标准化的实施具有重要推动作用。可以说我们进入了完整系膜切除的时代。

Total mesorectal excision （TME） is widely adopted wordwide, while discrepancies exist between surgical, embryological and anatomical descriptions of complete mesocolic excision （CME）. Technically, it is feasible to do CME laparoscopically, which also could achieve satisfactory pathological results. Although further long-term outcomes of laparoscopic CME procedure should be concerned, the concept of complete mesenteric （both colon and rectum） excision is positive to the standardization and high quality of laparoscopic surgery for colorectal cancer. It may say that we are in the era of complete mesentery excision.