摘要腹腔镜在直肠癌手术治疗中的应用越来越广泛.虽有争议存在,但绝大多数研究结果显示,无论近期安全性、有效性还是远期肿瘤学结局,腹腔镜直肠癌手术均与传统开腹手术相当.腹腔镜标准化培训模块结合综合治疗理念是腹腔镜直肠癌治疗效果的保障和前提.从事微创外科的医师需在保障患者安全及争取良好肿瘤学结局的前提下追求保留肛门括约肌及缩小切口.直肠癌的综合治疗和个体化治疗带来了非手术治疗、内镜治疗、经自然腔道内镜手术、单孔腹腔镜及机器人手术等新技术和理念的不断发展与创新机遇,也将为患者带来更好的疗效和生活质量.

abstractsLaparoscopic surgery has been increasingly used in rectal cancer surgery. Though there are still some controversies, most of the research results support that the outcome is similar for rectal cancer patients with either laparoscopic or open surgery, in term of short-term such as safety and efficacy and long-term such as oncologic outcome. Standardization of laparoscopic training together with the comprehensive management concept are the prerequisites of laparoscopic rectal cancer surgery. Those doctors who do minimally invasive surgery should follow the rationale that smaller incision and sphincter preservation are secondary to safety and oncological result of the patients. It is the comprehensive management and personalized treatment that bring opportunities for the continuous development and innovation of innovative technologies and concepts, for example, non-operative treatment, endoscopic therapy, natural orifice transluminal endoscopic surgery, single incision laparoscopic surgery, and robotic surgery. And they may finally lead to better outcome and quality of life for the patients.