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中华普外科手术学杂志(电子版) ›› 2019, Vol. 13 ›› Issue (01) : 1 -4. doi: 10.3877/cma.j.issn.1674-3946.2019.01.001

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腹腔镜直肠癌根治术的热点与未来发展
姚宏伟1, 张忠涛1,()   
  1. 1. 100500 北京,首都医科大学附属北京友谊医院普通外科,国家消化系统疾病临床医学研究中心
  • 收稿日期:2018-10-24 出版日期:2019-02-26
  • 通信作者: 张忠涛

Current hotspot and future development of laparoscopic rectal cancer surgery

Hongwei Yao1, Zhongtao Zhang1,()   

  1. 1. Department of General Surgery, Beijing Friendship Hospital, Capital Medical University, & National Clinical Research Center for Digestive Diseases, Beijing 100050, China
  • Received:2018-10-24 Published:2019-02-26
  • Corresponding author: Zhongtao Zhang
  • About author:
    Corresponding author: Zhang Zhongtao, Email:
  • Supported by:
    National Key Technologies R&D Program(No. 2015BAI13B09); Beijing Municipal Administration of Hospitals Clinical Medicine Development of Special Funding Support(No.ZYLX201504); Clinical Research Launching Project of Beijing Friendship Hospital, Capital Medical University(No.YYQDKT2016-5); NationalNatural Science Fundation of China(No.309732887); Natural Science Fundation of Beijing(No.7112034; No.7122052)
引用本文:

姚宏伟, 张忠涛. 腹腔镜直肠癌根治术的热点与未来发展[J/OL]. 中华普外科手术学杂志(电子版), 2019, 13(01): 1-4.

Hongwei Yao, Zhongtao Zhang. Current hotspot and future development of laparoscopic rectal cancer surgery[J/OL]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2019, 13(01): 1-4.

腹腔镜直肠癌手术的临床实践和临床研究,一直备受关注。基于近几年来发表的高级别临床研究证据,腹腔镜手术治疗直肠癌似乎已经证据确凿且疗效明确;但尚有研究表明,腹腔镜手术环周切缘阳性及直肠全系膜切除不彻底的发生率更高,将成为研究的热点。腹腔镜直肠癌手术仍然可以用于临床实践,对于环周切缘存在阳性风险的患者,仍建议优先选择开腹手术。此外,腹腔镜辅助经肛全直肠系膜切除手术,也是近几年研究的热点问题,现有研究已经表明其安全性和可行性,其是否会成为未来中低位直肠癌手术的发展方向,仍然值得期待,仍需更多的循证医学证据支持。

The clinical practice andresearch of laparoscopic rectal cancer surgery have been attracting much more attention. Based on the high-level evidence published in recent years, laparoscopic surgery for rectal cancer seems to be well documented and effective. Howeverseveral studies have shown that laparoscopic surgery has a higher incidence of circumferential margin positive and incomplete total mesorectal excision, and further research results are still challenging. Therefore, the NCCN guideline for Rectal Cancer (version 2018) recommended that laparoscopic surgery for rectal cancer can be used in clinical practice. However, for patients with a risk of positive circumferential resection margin, open surgeryis still recommended. In addition, laparoscopic assisted transanal total rectal resection is also a hot issue in recent years. Existing studies have shown that it is safe and feasible. Whether it will become atrendin mid-low rectal cancer surgery, is still worthy of expectation, and more high-level evidence is needed in the future.

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