CAJ | 학술논문

直肠癌手术中的完整系膜切除已获得学术界的广泛认可。而结肠癌手术就解剖学、胚胎学和外科学等不同角度而言，目前对其的认识上仍有差异；但完整系膜切除在腹腔镜结肠癌根治术中从技术上讲安全可行，且手术标本可以达到病理学上的根治要求。因此，腹腔镜在技术层面上并非完整系膜切除的障碍。虽然需进一步明确完整系膜切除在结直肠肿瘤远期疗效方面的优势，但作为一个概念，其对于手术技术的提高及标准化的实施具有重要推动作用。可以说我们进入了完整系膜切除的时代。
직장암수술중적완정계막절제이획득학술계적엄범인가。이결장암수술취해부학、배태학화외과학등불동각도이언，목전대기적인식상잉유차이；단완정계막절제재복강경결장암근치술중종기술상강안전가행，차수술표본가이체도병이학상적근치요구。인차，복강경재기술층면상병비완정계막절제적장애。수연수진일보명학완정계막절제재결직장종류원기료효방면적우세，단작위일개개념，기대우수술기술적제고급표준화적실시구유중요추동작용。가이설아문진입료완정계막절제적시대。
Total mesorectal excision (TME) is widely adopted wordwide, while discrepancies exist between surgical, embryological and anatomical descriptions of complete mesocolic excision (CME). Technically, it is feasible to do CME laparoscopically, which also could achieve satisfactory pathological results. Although further long-term outcomes of laparoscopic CME procedure should be concerned, the concept of complete mesenteric (both colon and rectum) excision is positive to the standardization and high quality of laparoscopic surgery for colorectal cancer. It may say that we are in the era of complete mesentery excision.