中国实用外科杂志

中国实用外科杂志 ›› 2012, Vol. 32 ›› Issue (01): 5-8.

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结直肠癌手术的质量控制标准：从TME到CME——新的概念带来临床治疗效果的进步

张忠涛，杨盈赤   

  1. 首都医科大学附属北京友谊医院普外科，北京100050
  • 出版日期:2012-01-01 发布日期:2011-12-29

  • Online:2012-01-01 Published:2011-12-29

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摘要：

直肠癌全系膜切除（TME）概念的提出和应用显著改善了直肠癌外科治疗效果，“概念带来的进步”得到了充分体现。借鉴直肠癌治疗的经验，以外科、解剖和胚胎学理论为基础，德国学者Hohenberger总结大量的临床证据提出了完整结肠系膜切除（CME）。CME概念的提出为结肠癌治疗效果进一步改善带来了希望，有望成为结肠癌根治性手术的质量控制标准。

关键词: 结直肠癌, 完整结肠系膜切除

Abstract:

Surgical quality of colorectal cancer: from TME to CME:terminology drive improvement        ZHANG Zhong-tao，YANG Ying-Chi. Department of General Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing 100050,China
Corresponding author：ZHANG Zhong-tao, E-mail：zhangzht@medmail.com.cn
Abstract    The application of total mesorectal excision (TME) significantly improved the surgical treatment of rectal cancer, “Terminology-Driven Improvement” or “Concept-Driving Change” has been fully reflected. Learning the experience of TME, based on surgical, anatomic and embryologic theories, German scholar Hohenberger summed up a lot of clinical data and proposed complete mesocolic resection (CME). CME may offer the hope to further improve the treatment of colon cancer and can be considered as an indicator of surgical quality.

Key words: colorectal cancer, complete mesocolic excision