CAJ | 학술논문

20多年来，直肠癌外科最重要的进展是全直肠系膜切除（TME）理念的提出与腹腔镜微创技术的应用。然而，对于骨盆狭小、肿瘤较大、特别是男性肥胖患者，低位直肠的分离显露仍然是个问题。腹腔镜联合经肛门微创手术（TAMIS）或者完全经肛门全直肠系膜切除（taTME）可能是一种潜在的解决途径。直肠癌手术的一个新时代似乎正在来到，但必须重点关注患者的合理选择、手术安全以及长期随访的问题。
20다년래，직장암외과최중요적진전시전직장계막절제（TME）이념적제출여복강경미창기술적응용。연이，대우골분협소、종류교대、특별시남성비반환자，저위직장적분리현로잉연시개문제。복강경연합경항문미창수술（TAMIS）혹자완전경항문전직장계막절제（taTME）가능시일충잠재적해결도경。직장암수술적일개신시대사호정재래도，단필수중점관주환자적합리선택、수술안전이급장기수방적문제。
In recent 20 years, the most important advancement of rectal cancer surgery is the total mesorectal excision (TME) and laparoscopic minimal invasive surgery. However, visualization of the distal rectum is still troublesome because of narrow pelvic, bulky tumor, and especially obese male patients. A possible solution for this situation is distal rectal mobilization by transanal minimally invasive surgery (TAMIS), or even pure transanal total mesorectal excision (taTME). When people applaud a new era of rectal cancer surgery is coming, we must also concern about the patients selection , the long-term follow up results and even the operative safety.