Hu San-yuan
Department of General Surgery, Qilu Hospital, Shandong University, Jinan, China.
Zhonghua Wei Chang Wai Ke Za Zhi. 2012 Aug;15(8):770-2.
The research on natural orifice transluminal endoscopic surgery (NOTES) and laparoscopic single-site surgery (LESS) are current worldwide focuses international areas of minimally invasive surgery. NOTES needs further investigation, and as the most available of no scar techniques, LESS provides a transition. Currently, both laparoscopy-assisted NOTES colorectal resection and totally NOTES colorectal resection have been reported, however, the techniques are still mainly under animal investigation. Multiple LESS colorectal resections have been reported worldwide, and the feasibility has been proved by those reports. What's more, whether LESS colorectal resection can fulfil the requirements of radical tumor resection needs further investigation.
自然腔道内镜手术(NOTES)和腹腔镜单孔手术(LESS)的研究是当前全球范围内微创外科手术的重点国际领域。NOTES尚需进一步研究,而作为最可行的无瘢痕技术,LESS提供了一种过渡方式。目前,腹腔镜辅助NOTES结直肠切除术和全NOTES结直肠切除术均有报道,但这些技术仍主要处于动物研究阶段。全球范围内已有多篇关于LESS结直肠切除术的报道,这些报道证实了其可行性。此外,LESS结直肠切除术能否满足肿瘤根治性切除的要求尚需进一步研究。