关键词: 全直肠系膜切除, 3D腹腔镜, 机器人手术系统, 经肛门全直肠系膜切除, 质量控制

Abstract:

Comparison of total mesorectal excision quality with the different approaches  and devices        CHI Pan, CHEN Zhi-fen. Department of Colorectal Surgery, Fujian Medical University Union Hospital, Fuzhou350001, China.
Corresponding author: CHI Pan, E-mail: cp3169@163.com
Abstract    The traditional open total mesorectal excision used to be the standard operation for mid-low rectal cancer. With the development of laparoscopy, more and more hospitals have regularly performed laparoscopic total mesorectal excision. And most of clinical trials have confirmed that the laparoscopic total mesorectal excision is not inferior to the open surgery. Recently, the new technique of transanal approach and new devices (3D and robotic) are applied to perform total mesorectal excision, and related clinical trials are conducted. There are certain advantages of these new technique and devices, but they also have some disadvantages and lack of evidences.

Key words: total mesorectal excision（TME）, 3D visualization laparoscopy, Robotic surgical system, transanal total mesorectal excision （TaTME）, guality control