作者：薛来洲1，黄佳敏1，李璇1，林圳滨2，甘国莲2，张力2，王浩2，盖娟娟2，邹瞭南2

单位：1.广州中医药大学第二临床医学院，广东 广州 510405；2.广州中医药大学第二附属医院（广东省中医院）肛肠外科，广东 广州 510120

Authors: Xue Laizhou1, Huang Jiamin1, Li Xuan1, Lin Zhenbin2, Gan Guolian2, Zhang Li2, Wang Hao2, Gai Juanjuan2, Zou Liaonan2

Unit: 1.The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510120, Guangdong, China；2.Department of Anorectal Surgery, the Second Affiliated Hospital of Guangzhou University of Chinese Medicine (Guangdong Hospital of Traditional Chinese Medicine), Guangzhou 510120, Guangdong, China

摘要：

腹腔镜尾侧入路法右半结肠癌根治术于2015年由笔者团队在国内首次提出，并开展了一系列临床研究和学术推广，2017年写入《腹腔镜结直肠手术入路选择专家共识》，目前在国内各级医院中被广泛开展。它是右半结肠癌腹腔镜根治术的优选手术方式之一，具有减少术中出血量、降低手术难度、易于学习等优点。本文在对此手术入路技术特点与优势进行回顾性分析的基础上，对学习曲线、肿瘤根治性及相关临床研究进展进行述评，阐释其治疗效果。

关键词： 结直肠癌；腹腔镜手术；尾侧入路

Abstract：

In 2015, the author's team first proposed the laparoscopic caudal-to-cranial approach for radical right hemicolectomy in China, and carried out a series of clinical studies and academic promotion. In 2017, it was written into the Expert consensus on the selection of laparoscopic colorectal surgery approach, and is currently widely used in various hospitals in China. It is one of the preferred surgical methods for laparoscopic radical surgery for right colon cancer, which has the advantages of reducing intraoperative blood loss, reducing surgical difficulty, and being easy to learn. Based on a retrospective analysis of the technical characteristics and advantages of this surgical approach, this article reviews the learning curve, tumor curability and relevant clinical research progress, and explains its clinical surgical treatment effect.

Key Words:  Colorectal cancer; Laparoscopic surgery; Caudal-to-cranial approach