经肛门全直肠系膜切除术的发展现状

Current Situation of Transanal Total Mesorectum Excision in Rectal Cancer

经肛门全直肠系膜切除术(transanal total mesorectal excision,taTME)作为一项治疗直肠癌的新兴技术,在经历动物实验、尸体试验后,已应用于临床,并且近期疗效存在优势。taTME使直肠癌手术微创效果进一步提升,为中低位直肠癌的治疗提供了新的思路。随着技术的完善,taTME将成为中低位直肠癌的重要治疗方法。现阶段,腹腔镜辅助的taTME则更易开展。本文就近年来taTME的发展现状进行综述。

Transanal total mesorectal excision(taTME)is a new approach for the treatment of rectal cancer.After animal experiments and human cadaver experiments,taTME has been applicated in the clinical treatment with advantage in the short-term effects.TaTME enhances the effect of minimally invasive surgery of rectal cancer,and provides new ideas on the treatment of midlow rectal cancer.With the improvement of technology,taTME will become an important treatment method for mid-low rectal cancer.At present,laparoscopes-assisted taTME can be carried out more easily.This review summarizes the current situation of taTME in recent years.