Transanal total mesorectal excision:the operative platform and potential issues
10.3760/cma.j.issn.1671-0274.2015.05.007
- VernacularTitle:经肛门全直肠系膜切除术技术平台的建立与面临的问题
- Author:
Weidong TONG
1
;
Xiaodong LAI
Author Information
1. 第三军医大学大坪医院野战外科研究所普通外科
- Keywords:
Rectal neoplasms;
Minimally invasive surgery;
Natural orifice transluminal endoscopic surgery;
Laparoscopy
- From:
Chinese Journal of Gastrointestinal Surgery
2015;(5):430-432
- CountryChina
- Language:Chinese
-
Abstract:
In recent 20 years, the most important advancement of rectal cancer surgery is the total mesorectal excision (TME) and laparoscopic minimal invasive surgery. However, visualization of the distal rectum is still troublesome because of narrow pelvic, bulky tumor, and especially obese male patients. A possible solution for this situation is distal rectal mobilization by transanal minimally invasive surgery (TAMIS), or even pure transanal total mesorectal excision (taTME). When people applaud a new era of rectal cancer surgery is coming, we must also concern about the patients selection , the long-term follow up results and even the operative safety.