腹腔镜与开腹全直肠系膜切除术环周切缘状态研究进展

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

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.