关键词: 腹腔镜, 结肠癌, 直肠癌, 经肛门全直肠系膜切除, 经自然腔道取出标本

Abstract:

Application of laparoscopic technique in colorectal surgery: Controversy and consensus        XIAO Yi. Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730,Chnia
Abstract    There are increasing evidences to support the application of laparoscopic technique in colorectal cancer surgery. With the improving devices in laparoscopic surgery, more and more surgeons like to handle the skill with enthusiasm. Laparoscopic technique has an important role in minimal invasive surgery and enhanced recovery after surgery. Compared with traditional open surgery, laparoscopic surgery has significant short-term efficacy, such as easily recognition of anatomical spaces, clearly lymphadenectomy, less intraoperative bleeding, fast recovery after operation. The technique also has comparable long-term oncological outcomes with open surgery. Lots of new concepts and operative approaches are derived from laparoscopic technique, such as natural-orifice specimen extraction (NOSES), transanal total mesorectal excision (TaTME), which expands the extent of minimal invasive surgery. How to properly implement the laparoscopic technique in colorectal surgery should become the aim to train young surgeons, which would make the technique popularized.

Key words: laparoscope, colon cancer, rectal cancer, transanal total mesorectal excision, natural-orifice specimen extraction