腹腔镜结直肠手术中的切除技术：基于文献的综述。
Retraction techniques in laparoscopic colorectal surgery: a literature-based review.
机构信息
Department of General and Laparoscopic Colorectal Surgery, Worthing Hospital, Worthing, West Sussex, UK.
出版信息
Colorectal Dis. 2013 Aug;15(8):936-43. doi: 10.1111/codi.12190.
AIM
To systematically review the published literature and describe the various techniques of bowel and mesentery retraction available for use in laparoscopic colorectal resection.
METHOD
A comprehensive search of the literature was undertaken using MESH terms 'retraction', 'laparoscopic' and 'colorectal'. All articles describing methods of retraction in laparoscopic colorectal surgery were included.
RESULTS
Twelve methods of retraction in laparoscopic colorectal surgery were described. Five case-based series and three case studies were reported on 108 patients. Techniques were classified into those offering retraction of the small or large bowel or according to the mode of retraction.
CONCLUSION
Many retraction methods are available to the surgeon varying in cost, invasiveness and complexity. Adequate retraction remains a challenge for optimal exposure and dissection during laparoscopic colorectal surgery.
目的
系统地回顾已发表的文献，描述可用于腹腔镜结直肠切除术的各种肠管和肠系膜牵拉技术。
方法
使用 MESH 术语“retraction（牵拉）”“laparoscopic（腹腔镜）”和“colorectal（结直肠）”对文献进行全面检索。纳入所有描述腹腔镜结直肠手术中牵拉方法的文章。
结果
描述了腹腔镜结直肠手术中的 12 种牵拉方法。5 项基于病例的系列研究和 3 项病例研究共纳入 108 例患者。根据牵拉的部位或方式对技术进行分类。
结论
外科医生有许多牵拉方法可供选择，这些方法在成本、侵袭性和复杂性方面存在差异。在腹腔镜结直肠手术中，充分的牵拉仍然是实现最佳显露和分离的挑战。
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