中国实用外科杂志2012，Vol.32Issue(6)：453-455,3.
低位直肠癌外科治疗新术式:提肛肌外腹会阴联合切除术
New surgical conception of management for low rectal cancer: extralevator abdominoperineal excision
叶颖江 1王杉1
作者信息
- 1. 北京大学人民医院胃肠外科,北京100044
- 折叠
摘要
Abstract
The widespread adoption of the abdominoperineal excision (APE) and total mesotectal excision for rectal cancer has led to significant improvements in oncologic outcomes. However, the rate of circumferential resection margin (CRM) involvement and the incidence of intraoperative perforation (IOP) of APE for lower rectal cancer are still higher than those of anterior resection (AR) for higher rectal cancer. Extralevator abdominoperineal excision (ELAPE) for low rectal cancer has been introduced to decrease CRM and IOP and improve local radicality. ELAPE is recognized as a new concept for management of lower rectal cancer in Europe. ELAPE should be performed on the extralevator plane based on the principles of TME. Understanding anatomic landmark and operation principles can shorten the learning curve of surgery.关键词
直肠癌/提肛肌外腹会阴联合切除术Key words
rectal cancer/ extralevator abdominoperineal excision (ELAPE)分类
医药卫生引用本文复制引用
叶颖江,王杉..低位直肠癌外科治疗新术式:提肛肌外腹会阴联合切除术[J].中国实用外科杂志,2012,32(6):453-455,3.
