Division of Colon and Rectal Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Curr Opin Gastroenterol. 2011 Jan;27(1):48-53. doi: 10.1097/MOG.0b013e328340b842.
New developments in colorectal surgery have been driven primarily by technical innovations, which in turn are responsible for changes in practice. This review examines recent publications that describe and have contributed to these changes.
We identified and reviewed recent publications in the areas of fecal incontinence, constipation, single incision and robotic surgical techniques, complex anal fistulas, diverticulitis, local excision techniques for rectal neoplasms, surgical care improvement, use of mechanical bowel preparation, and magnetic resonance imaging after neoadjuvant chemoradiotherapy for rectal cancer.
New technologies and practice innovations will enhance patient outcomes and quality of life. Multiinstitutional studies, randomized when practical, will be necessary to further define the safety and efficacy of these new surgical techniques and to further define best practices in colon and rectal surgery.
结直肠外科的新进展主要由技术创新驱动，而这些创新反过来又导致了实践的改变。这篇综述考察了描述并促成这些变化的最新出版物。
我们确定并回顾了在粪便失禁、便秘、单切口和机器人手术技术、复杂肛痿、憩室炎、直肠肿瘤的局部切除技术、外科护理改进、机械性肠道准备的使用以及新辅助放化疗后直肠癌的磁共振成像等领域的最新出版物。
新技术和实践创新将提高患者的预后和生活质量。有必要进行多机构研究，在实际可行的情况下进行随机研究，以进一步确定这些新手术技术的安全性和有效性，并进一步确定结肠和直肠外科的最佳实践。
