对于直肠癌而言,透过门的整体中肠切除术是直肠癌
Sue J Hahn1, Ameer Farooq2, Patricia Sylla1
1Division of Colon and Rectal Surgery, Department of Surgery, Icahn School of Medicine at Mount Sinai, 5 East 98th Street, Box 1259, New York, NY 10029, USA.
Advances in surgery
|August 3, 2023
概括
透过门的全腹膜切除术 (taTME) 为直肠癌提供了一种最少的侵入性方法,促进了困难的下直肠剖析. 虽然很难掌握,但taTME表现出良好的结果和较低的转换率.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 手术瘤学手术瘤学
- 最少侵入性手术的方法
背景情况:
- 透过门的全腹膜切除术 (taTME) 是一种用于直肠癌的新手术技术.
- 它涉及一个"自下而上"的剖析,由门开始,有助于管理远端直肠瘤.
- taTME旨在克服与传统的下直肠切割相关的挑战.
研究的目的:
- 描述taTME在直肠癌中的技术,指示和结果.
- 评估taTME的学习曲线和采用挑战.
- 在过去的十年中,审查taTME的外科,瘤和功能结果.
主要方法:
- 关于直肠癌的taTME的文献和外科病例系列的综述.
- 分析报告的技术,患者选择标准和外科手术方法.
- 评估术后并发症,瘤边缘和功能结果.
主要成果:
- taTME促进了具有挑战性的远端直肠切割,并改善了远端边缘的实现.
- 研究表明,与传统方法相比,转化率明显较低.
- 已经报告了可接受的外科手术,瘤和功能结果.
结论:
- 在直肠癌管理中,taTME是低直肠剖析的一个有价值的技术.
- 尽管有学习曲线,但它在转化率和结果方面提供了优势.
- 持续的研究和培训对于更广泛地采用和优化taTME至关重要.
相关概念视频
Inflammatory Bowel Disease V: Surgical Management
170
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
170
Assessment of the Rectum and Anus
278
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
278
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
119
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
119


