Davies M M, Larson D W
Division of Colon and Rectal Surgery, Mayo Clinic and Mayo Foundation, 200 First Street SW, Rochester, MN 55905, USA.
Surg Oncol. 2004 Aug-Nov;13(2-3):111-8. doi: 10.1016/j.suronc.2004.08.003.
Laparoscopic techniques have expanded since their introduction 15 years ago. The laparoscopic approach for colorectal surgery has been slower to develop than other fields of surgery. However, this approach does provide significant benefits for colorectal resection, although concerns regarding the ability to satisfy oncological criteria have restricted its use in the past. This review studies the published data on the use of laparoscopic surgery for colorectal cancer including the short- and long-term outcomes. New long-term outcome data is now available which is likely to encourage the use of this technique for colon cancer resection. Laparoscopic rectal cancer resection is also discussed including the more limited outcome data that is available.
自15年前引入以来,腹腔镜技术得到了广泛应用。腹腔镜结直肠手术的发展速度比其他外科领域要慢。然而,尽管过去对能否满足肿瘤学标准的担忧限制了其应用,但这种方法确实为结直肠切除术带来了显著益处。本综述研究了关于腹腔镜手术治疗结直肠癌的已发表数据,包括短期和长期结果。现在有了新的长期结果数据,这可能会鼓励在结肠癌切除术中使用这种技术。还讨论了腹腔镜直肠癌切除术,包括现有的较为有限的结果数据。