经肛门内镜微创手术应用的新进展

Updates on the applications and indications of the technique of transanal endoscopic microsurgery

经肛门内镜微创手术(TEM)作为一项结合了内镜技术和微创手术共同优势的手术操作技术,于1983年首次与世人见面。该技术以其放大达裸眼6倍的三维手术视野,使得术者可以充分、精准地全层切除复杂的直肠病灶。此篇述评结合了国内外相关文献和笔者自身临床实践的经验,将在TEM的术前评估、传统适应证和治疗直肠疾病的创新应用上进行综述。

First introduced in the year of 1983, transanal endoscopic microsurgery (TEM) is a surgical technique that takes full advantages of both endoscopy and minimally invasive surgery. The technique allows the surgeon to excision of complex rectal lesions fully and accurately with a threedimensional surgical view of 6 times the size of the naked eye. This article was developed on our own clinical experience and large-scale paper review to illustrate the preoperative assessment of the technique of transanal endoscopic microsurgery, as well as unveil its traditional indications and innovative applications on treating rectal diseases.