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腹腔镜手术治疗结直肠良恶性疾病。

Laparoscopic surgery for benign and malignant colorectal diseases.

作者信息

Liska David, Lee Sang W, Nandakumar Govind

机构信息

Department of Surgery, New York-Presbyterian Hospital, Weill Cornell Medical College, New York, NY, USA.

出版信息

Surg Laparosc Endosc Percutan Tech. 2012 Jun;22(3):165-74. doi: 10.1097/SLE.0b013e31824be7ba.

Abstract

Laparoscopic approaches to many benign and malignant colorectal diseases continue to expand and become more ubiquitous. Numerous studies have shown that diverticulitis, inflammatory bowel disease, and rectal prolapse can safely be managed laparoscopically. Laparoscopy for colon cancer is well studied and offers significant short-term benefits while preserving oncologic outcome. There are several large prospective studies underway to document long-term oncologic outcomes for the use of laparoscopy in the treatment of rectal cancer. With appropriate patient and surgeon selection, many significant clinical benefits can be achieved with this less invasive approach without compromising surgical quality.

摘要

腹腔镜技术在许多结直肠良恶性疾病中的应用不断扩展且日益普遍。大量研究表明,憩室炎、炎症性肠病和直肠脱垂均可通过腹腔镜安全地进行治疗。腹腔镜用于结肠癌的治疗已得到充分研究,在保留肿瘤学疗效的同时具有显著的短期益处。目前正在进行多项大型前瞻性研究,以记录腹腔镜技术用于直肠癌治疗的长期肿瘤学疗效。通过适当选择患者和外科医生,这种微创方法可在不影响手术质量的情况下带来诸多显著的临床益处。

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