• 摘要: 经肛微创手术与经肛全直肠系膜切除术是直肠外科微创化的重要发展方向。经肛腔镜操作受限于空间狭窄与“筷子效应”,技术挑战高且学习曲线长。机器人经肛微创手术凭借高清三维视野、灵活机械臂及狭小空间内的操作优势,为破解腹腔镜经肛微创手术的技术挑战提供了新的解决方法。为进一步规范机器人经肛微创手术的定义、适应证和禁忌证、操作流程,并推进该技术的安全有效实施,中国医师协会外科医师分会经肛腔镜外科专家工作组、中国研究型医院学会机器人与腹腔镜外科专业委员会和《中华消化外科杂志》编辑委员会组织该领域专家,结合国内外循证医学证据,制订《机器人经肛微创手术专家共识(2026版)》,旨在为该技术的规范化开展与临床推广应用提供科学指导。

     

    Abstract: Transanal minimally invasive surgery (TAMIS) and transanal total mesorectal excision (taTME) are important development directions in the minimally invasive evolution of rectal surgery. Transanal endoscopic procedures are often constrained by confined working spaces and the "chopstick effect", resulting in high technical challenges and steep learning curves. Robotic transanal minimally invasive surgery (R‑TAMIS) features high‑definition 3D vision, flexible robotic instruments, and superior maneuverability within narrow spaces, which provides a novel solution to the technical challenges of laparoscopic TAMIS. To further standardize the definitions, indications, contraindica-tions, and operational workflows of R‑TAMIS, and to promote its safe and effective implementation, the Transanal Endoscopic Surgery Expert Working Group of the Chinese Medical Doctor Association, the Robotic and Laparoscopic Surgery Committee of Chinese Research Hospital Association, and the Editorial Board of Chinese Journal of Digestive Surgery have organized experts in the field to develop the Expert consensus on robotic transanal minimally invasive surgery (2026 edition). Integrating both domestic and international evidence‑based medical data, this consensus aims to provide scientific guidance for the standardized practice and clinical promotion of this technology.

     

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