直肠癌的腹腔镜检查

Laparoscopy for rectal cancer.

作者信息

Nandakumar Govind, Fleshman James W

机构信息

Department of Surgery, Weill Cornell Medical College, 525 East 68th Street, New York, NY 10065, USA.

出版信息

Surg Oncol Clin N Am. 2010 Oct;19(4):793-802. doi: 10.1016/j.soc.2010.08.003.

DOI:10.1016/j.soc.2010.08.003

PMID:20883954

Abstract

Several large case series and single-institution trials have shown that laparoscopy is feasible for rectal cancer. Pending the results of the UK CLASICC, COLOR II, Japanese JCOG 0404, and ACOSOG Z6051 trials, the oncologic and long-term safety of laparoscopic rectal cancer surgery is unclear and the technique is best used at centers that can effectively collect and analyze outcomes data. Robotic and endoluminal techniques may change our approach to the treatment of rectal cancer in the future. Training, credentialing, and quality control are important considerations as new and innovative surgical treatments for rectal cancer are developed.

摘要

多项大型病例系列研究和单机构试验表明，腹腔镜手术用于直肠癌是可行的。在英国CLASICC、COLOR II、日本JCOG 0404以及美国外科医师学会肿瘤学组（ACOSOG）Z6051试验的结果出来之前，腹腔镜直肠癌手术的肿瘤学安全性和长期安全性尚不清楚，该技术最好在能够有效收集和分析结果数据的中心使用。机器人手术和腔内技术可能会在未来改变我们治疗直肠癌的方法。随着针对直肠癌的新型创新手术治疗方法的发展，培训、资质认证和质量控制是需要重点考虑的因素。