Suppr超能文献

[腹腔镜手术在结直肠疾病中的应用]

[Laparoscopic surgery in colorectal diseases].

作者信息

Balén E, Suárez J, Ariceta I, Oronoz B, Herrera J, Lera J M

机构信息

Servicio de Cirugía General, Hospital de Navarra, Pamplona.

出版信息

An Sist Sanit Navar. 2005;28 Suppl 3:67-80.

Abstract

The present state of laparoscopic surgery in colorectal diseases is presented, showing results that are superior to open surgery during the hospital stay, infection of the wound and quality of life in the first postoperative month. It is technically possible to carry out all of the techniques of colorectal resection with assisted laparoscopic surgery. The counter-indications depend above all on the state of the patient and his disease: emergency laparoscopy of the colon and rectum barely have a place in the therapeutic arsenal. However, elective surgery contributes a great number of cases, as well as colon cancer, whose laparoscopic approach is only contraindicated if the neighbouring organs are affected or if surgery by laparoscopy is not radical and oncological, due to the case itself or if the surgical team lacks the technique, given that the results for curing cancer are identical to open surgery, with level I scientific evidence. The results of cure and survival from laparoscopic surgery of cancer of the rectum are being studied. A description is given of the details of the surgical technique of right and left colectomies, laparoscopic resections of the rectum and of total colectomy.

摘要

本文介绍了结直肠疾病腹腔镜手术的现状,结果表明,在住院时间、伤口感染及术后第一个月的生活质量方面,腹腔镜手术优于开放手术。借助腹腔镜辅助手术完成结直肠切除的所有技术在技术上是可行的。禁忌证主要取决于患者的身体状况及其疾病:结肠和直肠的急诊腹腔镜手术在治疗手段中几乎没有立足之地。然而,择期手术有大量病例,包括结肠癌,其腹腔镜手术方式仅在以下情况为禁忌:邻近器官受累;由于病例本身、或手术团队缺乏技术,导致腹腔镜手术不彻底且不符合肿瘤学要求,因为治疗癌症的结果与开放手术相同,有一级科学证据支持。目前正在研究直肠癌腹腔镜手术的治愈和生存结果。文中描述了右半结肠切除术、左半结肠切除术、直肠腹腔镜切除术及全结肠切除术的手术技术细节。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验