• 摘要: 直肠癌前切除术后患者发生的一系列肠道功能障碍症状,又称低位前切除综合征(LARS),随着直肠癌发病率的升高,LARS发生率呈上升趋势。为规范LARS的诊断及治疗,以LARS的定义、流行病学、发病机制、危险因素、预防、诊断与治疗等临床问题为导向,中国医师协会内镜医师分会腹腔镜外科专委会、中国研究型医院学会机器人与腹腔镜外科专业委员会、《中华消化外科杂志》编辑委员会组织国内相关领域专家制订《低位前切除术后肠道功能障碍诊疗规范专家共识(2025版)》,旨在规范LARS的诊断及治疗,提高LARS的诊疗水平,改善患者的生命质量。

     

    Abstract: Low anterior resection syndrome (LARS) is a set of bowel dysfunction symptoms occurring in patients after anterior resection for rectal cancer. As the incidence of rectal cancer rises, the prevalence of LARS is also increasing. To standardize the diagnosis and treatment of LARS, the Laparoscopic Surgery Committee of the Endoscopist Branch in the Chinese Medical Doctor Association, Robotic and Laparoscopic Surgery Committee of Chinese Research Hospital Association, and Editorial Board of Chinese Journal of Digestive Surgery have organized domestic experts in relevant fields to formulate the "Expert Consensus on Diagnosis and Treatment of Bowel Dysfunction after Low Anterior Resection (2025 Edition)"based on a systematic review of its definition, epidemiology, pathogenesis, risk factors, prevention, diagnosis, and management. This consensus aims to enhance the precision of its clinical management and ultimately improve the quality of life of LARS patients by standardizing the diagnosis and treatment of LARS.

     

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