Division of Colon and Rectal Surgery, Mayo Clinic, Rochester, Minnesota 55905, USA.
Curr Opin Gastroenterol. 2013 Jan;29(1):72-8. doi: 10.1097/MOG.0b013e32835a34ea.
The field of colorectal surgery continues to move forward as technical innovations emerge and as surgeons ask critical questions. The results of subsequent investigations often lead to changes in practice. This review examines recent publications that describe these practice changes.
We identified and reviewed recent publications in the areas of rectal cancer controversies, genetic risk profiling, practice improvements, diverticulitis, enhanced recovery protocols, fecal incontinence, and single incision laparoscopic surgery.
New technologies and practice innovations will continue to enhance patient outcomes. Multiinstitutional studies, randomized when able, are necessary to further define the safety and efficacy of new surgical techniques and to further define best practices in colorectal surgery.
随着技术创新的出现以及外科医生提出关键问题,结直肠外科学领域不断发展。随后的调查结果往往导致实践的改变。本综述探讨了描述这些实践改变的近期出版物。
我们确定并回顾了直肠癌争议、遗传风险分析、实践改进、憩室炎、加速康复方案、粪便失禁和单切口腹腔镜手术等领域的最新出版物。
新技术和实践创新将继续改善患者的治疗效果。多机构研究,如有可能,应进行随机研究,以进一步确定新手术技术的安全性和有效性,并进一步确定结直肠外科学的最佳实践。