Transanal total mesorectal excision for rectal cancer: the journey towards a new technique and its current status
Transanal total mesorectal excision for rectal cancer: the journey towards a new technique and its current status
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经肛门直肠癌全直肠系膜切除术：新技术的历程及其现状
DOI：
10.1080/14737140.2016.1240040
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发表时间：
2016
影响因子：
3.3
通讯作者：
R. Hompes
中科院分区：
文献类型：
--
作者：
M. Penna;N. Buchs;A. Bloemendaal;R. Hompes
摘要简介：直肠癌全肠系膜切除术（TME）的外科入路经历了实质性的发展，采用了更多的微创手术。经肛门TME （taTME）是最新的先进技术，率先解决困难的骨盆夹层。涵盖领域：TME手术从开放到腹腔镜、机器人和经肛门技术的发展在本综述中进行了探讨。本文回顾了迄今为止最新的taTME方法的结果，并提出了直肠癌手术的未来方向。使用Embase、Medline、Web of Science和Cochrane数据库对2005年1月至2016年5月期间发表的文章进行文献检索，关键词为“经肛”、“TME”、“腹腔镜”、“机器人”、“微创”、“结果”和“培训”。专家评论：taTME的手术经验正在增长，世界范围内已经计划和启动了随机对照试验。然而，该程序的学习曲线仍有待确定，有必要制定一个有组织的培训方案，以确保在临床环境中安全地介绍和传播该技术。目前正在探索进一步的创新，包括立体定向导航和更专业的跨肛门设备，并可能进一步提高技术。
ABSTRACT Introduction: The surgical approach to total mesorectal excision (TME) for rectal cancer has undergone a substantial evolution with the adoption of more minimally invasive procedures. Transanal TME (taTME) is the latest advanced technique pioneered to tackle difficult pelvic dissections. Areas covered: The evolution of TME surgery from open to laparoscopic, robotic and transanal techniques was explored in this review. The outcomes to date on the latest approach, taTME, are reviewed and the future direction of rectal cancer surgery proposed. A literature search was performed using Embase, Medline, Web of Science and Cochrane databases for articles published between January 2005 to May 2016 using the keywords ‘transanal’, ‘TME’, ‘laparoscopy’, ‘robotics’, ‘minimally invasive’, ‘outcomes’ and ‘training’. Expert commentary: Surgical experience in taTME is growing and randomised controlled trials have been planned and initiated worldwide. However, the learning curve for this procedure remains to be established and a structured training programme is necessary to ensure safe introduction and dissemination of the technique in the clinical setting. Further innovation including stereotactic navigation and more specialised transanal equipment are currently being explored and are likely to enhance the technique further.
影响因子：
120.7
作者：
Fleshman, James;Branda, Megan;Sargent, Daniel J.;Boller, Anne Marie;George, Virgilio;Abbas, Maher;Peters, Walter R., Jr.;Maun, Dipen;Chang, George;Herline, Alan;Fichera, Alessandro;Mutch, Matthew;Wexner, Steven;Whiteford, Mark;Marks, John;Birnbaum, Elisa;Margolin, David;Larson, David;Marcello, Peter;Posner, Mitchell;Read, Thomas;Monson, John;Wren, Sherry M.;Pisters, Peter W. T.;Nelson, Heidi
通讯作者：
Nelson, Heidi