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经肛全直肠系膜切除术易损伤区域及术中处理策略

赵世栋 叶颖江 申占龙

结直肠肛门外科2024,Vol.30Issue(2):159-162,4.
结直肠肛门外科2024,Vol.30Issue(2):159-162,4.DOI:10.19668/j.cnki.issn1674-0491.2024.02.005

经肛全直肠系膜切除术易损伤区域及术中处理策略

Vulnerable areas and intraoperative management strategies of transanal total mesorectal ex-cision

赵世栋 1叶颖江 1申占龙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

Transanal total mesorectal resection(taTME)has been developed and practiced for more than 10 years and has been recognized by more and more colorectal surgeons due to its good surgical vision during the radical resection of low rectal cancer.However,due to its"caudal to cranial"operating perspective,colorectal surgeons need to cor-rectly understand the relevant anatomical levels and markers in order to achieve higher surgical quality.In this paper,the five vulnerable areas of taTME,including anal sphincter,anterior sacral vein,neurovascular bundle,posterior branch of pelvic plexus and male urethra,as well as relevant operation points,were described,and intraoperative management strategies were proposed.

关键词

经肛全直肠系膜切除术/"由尾向头"/易损伤区域/操作要点/处理策略

Key words

transanal total mesorectal resection/"caudal to cranial"/vulnerable areas/operation points/management strategies

分类

医药卫生

引用本文复制引用

赵世栋,叶颖江,申占龙..经肛全直肠系膜切除术易损伤区域及术中处理策略[J].结直肠肛门外科,2024,30(2):159-162,4.

结直肠肛门外科

OACSTPCD

1674-0491

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