Abstract:

Progress in minimally invasive surgical treatment of rectal cancer from the development of TaTME        YANG Ying-chi，YAO Hong-wei，ZHANG Zhong-tao. Department of General Surgery，Beijing Friendship Hospital， Capital Medical University；Key Laboratory of Cancer Inversion and Metastasis Research & National Clinical Research Center for Digestive Disease，Beijing 100050，China
Corresponding author: ZHANG Zhong-tao，E-mail：zhangzht@ccmu.edu.cn
Abstract    With the developments in scientific technology and deeper understanding of the disease itself，the surgical treatment for patients with colorectal cancer has undergone some transitions from local resection to total mesorectum excision （TME），from the open operation to laparoscopic surgery，and from laparoscopic surgery to robotic surgery，then it has entered the era of minimally invasive surgery. Under the background of the era，transanal total mesorectal excision （TaTME）has arised at this historic moment. As Dr.Heald said，who created the technique of TME，TaTME assembles all the characteristics of surgery techniques for rectal cancer.Each stage of its development is highly representative，and it has become a microcosm of the progress in minimally invasive techniques for rectal surgery.

Key words: transanal total mesorectal excision, total mesorectal excision, minimally invasive surgery

摘要：

随着科学技术的进步和对疾病本身认识的深入，直肠癌的外科治疗从局部切除到全直肠系膜切除（TME），从开放手术到腹腔镜手术，再从腹腔镜手术到机器人手术，目前已经进入微创时代。在此时代背景下，经肛门全直肠系膜切除（TaTME） 应运而生。正如TME的提出者Heald所言：“TaTME是近30年直肠癌外科治疗技术的集大成者”，其发展的每一个阶段都有很强的代表性，已成为直肠癌微创外科治疗技术进步发展的一个缩影。

关键词: 经肛门全直肠系膜切除, 全直肠系膜切除, 微创外科