Shukla Parul J, Barreto George, Gupta Piyush, Shrikhande Shailesh V
Department of Gastrointestinal Surgical Oncology, Tata Memorial Hospital, Mumbai, India.
J Minim Access Surg. 2006 Dec;2(4):205-10. doi: 10.4103/0972-9941.28181.
Laparoscopy was introduced more than 15 years ago into clinical practice. However, its role in colorectal surgery was not well established for want of better skills and technology. This coupled with high incidences of port site recurrences, prevented laparoscopic surgery from being incorporated into mainstream colorectal cancer surgery. A recent increase in the number of reports, retrospective analyses, randomized trials and multicentric trials has now provided sufficient data to support the role of laparoscopy in colorectal cancer surgery. We, thus, present a review of the published data on the feasibility, safety, short - and long-term outcomes following laparoscopic surgery for colorectal cancers. While the data available strongly favors the use of laparoscopic surgery in colonic cancer, larger well powered studies are required to prove or disprove its role in rectal cancer.
腹腔镜检查在15年多以前就已引入临床实践。然而,由于缺乏更好的技术和技能,其在结直肠手术中的作用尚未得到充分确立。再加上穿刺孔部位复发率较高,使得腹腔镜手术未能纳入主流的结直肠癌手术。最近,报告、回顾性分析、随机试验和多中心试验的数量有所增加,现已提供了足够的数据来支持腹腔镜检查在结直肠癌手术中的作用。因此,我们对已发表的关于腹腔镜结直肠癌手术的可行性、安全性、短期和长期结果的数据进行综述。虽然现有数据强烈支持在结肠癌手术中使用腹腔镜手术,但仍需要规模更大、说服力更强的研究来证实或反驳其在直肠癌手术中的作用。