CAJ | 학술논문

在过去的30年中，直肠癌的治疗经历了一系列重要变革。从直肠全系膜切除，到多学科综合治疗，再到腹腔镜技术的应用。近年来，经肛门全直肠系膜切除术（taTME）又成为结直肠外科医师新的关注热点。一系列临床研究显示了其手术的安全性、可行性和令人满意的短期疗效。然而，目前将这一尚未成熟的技术与腹腔镜TME手术进行比较可能为时尚早。我们现在所能做的，应该是针对性地选择适合的病例，高质量地开展taTME手术，扎扎实实做好每一例，积累足够的经验，获取充分的数据，然后再对该技术进行客观而全面的评估，以求为直肠癌的外科治疗提供更加优化的技术方案，真正达到使患者获益最大化的目的。
재과거적30년중，직장암적치료경력료일계렬중요변혁。종직장전계막절제，도다학과종합치료，재도복강경기술적응용。근년래，경항문전직장계막절제술（taTME）우성위결직장외과의사신적관주열점。일계렬림상연구현시료기수술적안전성、가행성화령인만의적단기료효。연이，목전장저일상미성숙적기술여복강경TME수술진행비교가능위시상조。아문현재소능주적，응해시침대성지선택괄합적병례，고질량지개전taTME수술，찰찰실실주호매일례，적루족구적경험，획취충분적수거，연후재대해기술진행객관이전면적평고，이구위직장암적외과치료제공경가우화적기술방안，진정체도사환자획익최대화적목적。
In the last 30 years, the treatment of rectal cancer has changed extensively including the emerge of total mesorectal excision, multidisciplinary approach, and laparoscopy. Transanal total mesorectal excision (taTME) has been a hot topic in the past several years. It was reported that taTME was safe and feasible, and had a satisfactory short-term outcomes. But at this stage it may be premature to compare a new technique, such as taTME, which is still evolving and developing instrumentation to well-established standard procedures like laparoscopic TME. What is possibly needed is selective cases, high quality operation, and more cohort studies with larger sample sizes addressing the safety , feasibility and efficiency.