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中华普外科手术学杂志(电子版) ›› 2024, Vol. 18 ›› Issue (06) : 591 -595. doi: 10.3877/cma.j.issn.1674-3946.2024.06.001

专家述评

中国腹腔镜直肠癌根治术30年发展历程与未来
郑民华1,(), 蒋天宇1, 赵轩1, 马君俊1   
  1. 1. 200025 上海,上海交通大学医学院附属瑞金医院普通外科,胃肠外科,上海市微创外科临床中心
  • 收稿日期:2024-04-24 出版日期:2024-12-26
  • 通信作者: 郑民华

30 years historical development and future outlook of laparoscopic surgery for rectal cancer in China

Minhua Zheng1,(), Tianyu Jiang1, Xuan Zhao1, Junjun Ma1   

  1. 1. Department of Gastrointestinal Surgery, Department of General Surgery, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai Minimal Invasive Surgery Center, Shanghai 200025, China
  • Received:2024-04-24 Published:2024-12-26
  • Corresponding author: Minhua Zheng
  • Supported by:
    National Natural Science Foundation(82072614); Shanghai Municipal Commission of Economy and Informatization-Innovative Medical Device Application Demonstration Project(23SHS03000-03)
引用本文:

郑民华, 蒋天宇, 赵轩, 马君俊. 中国腹腔镜直肠癌根治术30年发展历程与未来[J]. 中华普外科手术学杂志(电子版), 2024, 18(06): 591-595.

Minhua Zheng, Tianyu Jiang, Xuan Zhao, Junjun Ma. 30 years historical development and future outlook of laparoscopic surgery for rectal cancer in China[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(06): 591-595.

中国腹腔镜直肠手术开展至今已历30年。手术指征从早期肿瘤拓展到进展期肿瘤;手术部位从直乙结肠到中低位直肠再到超低位直肠;淋巴结清扫范围从D2到D3再到侧方淋巴清扫;手术入路从经腹到经肛;消化道重建从小切口辅助到全腹腔镜;手术平台从2D到3D、4K到机器人;临床研究从单中心到多中心,从回顾性到前瞻性随机对照研究,从国内开展到国际合作。正是由于我国微创外科与结直肠外科一大批专家学者的奋发前行,开创了中国腹腔镜直肠癌手术30年的飞速发展。笔者通过回顾中国腹腔镜直肠癌手术30年的发展历程,俱收并蓄、温故知新,向历史深处汲取灵感,以求后来者传承创新,开创中国腹腔镜直肠癌手术今后30年新的辉煌。

Laparoscopic surgery for rectal cancer has been introduced in China for 30 years. The indications for surgery have expanded from early tumors to advanced tumors; The surgical site ranges from the recto-sigmoidectomy to middle and low anterior resection, and then to the ultra-low resection; The lymph node dissection ranges from D2 to D3 and then to lateral lymph node dissection; The surgical approach is from transabdominal to transanal; Digestive tract reconstruction assisted by small incisions to total laparoscopy; Surgical platforms from 2D to 3D, 4K laparoscpy to robots; Clinical research has evolved from single center to multicenter, from retrospective to prospective randomized controlled trials, and from domestic to international collaborations. It is precisely because of the hard work of a large number of experts and scholars in minimally invasive surgery and colorectal surgery in China that the rapid development of laparoscopic surgery for rectal cancer in China has been initiated for 30 years. The author reviews the development process of laparoscopic rectal cancer surgery in China over the past 30 years, embracing and learning from the past, drawing inspiration from the depths of history, in order to inherit and innovate in the future, and create a new glory for laparoscopic rectal cancer surgery in China in the next 30 years.

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