腹腔镜低位直肠癌保肛手术发展迅猛。影响腹腔镜低位直肠癌保肛手术学习曲线的因素包括术者有无腹腔镜和开腹手术经验、手术中团队的配合、合理的病例选择等。而在近年来在机器人系统,3D腹腔镜系统等新兴手术平台基础上开展的腹腔镜低位直肠保肛手术,对其学习曲线亦产生相当的影响。在技术飞速发展的今天,合理的技术准入制度,对于难度相对较高的腹腔镜低位直肠癌保肛手术的规范化推广和发展显得尤为重要。 Laparoscopic low rectal surgery Anorectal surgery is developing rapidly. Influencing laparoscopic low rectal surgery anal sphincter learning and learning curve factors include laparoscopic surgery and laparotomy surgery experience, teamwork with surgery, reasonable case selection. In recent years, laparoscopic anorectal anorectal surgery based on the emerging surgical platforms such as robotic system and 3D laparoscopic system has also had a considerable impact on the learning curve. In the rapid development of technology today, a reasonable system of technical admittance is particularly important for the standardized promotion and development of anorectal surgery for laparoscopic low rectal cancer with relatively high difficulty.