Parker James Michael, Feldmann Timothy F, Cologne Kyle G
Department of Surgery, Middlesex Hospital Surgical Alliance, 520 Saybrook Road, Suite S-100, Middletown, CT 06457, USA.
Department of Surgery, Capital Medical Center, 3900 Capital Mall Drive Southwest, Olympia, WA 98502, USA.
Surg Clin North Am. 2017 Jun;97(3):547-560. doi: 10.1016/j.suc.2017.01.005.
Laparoscopic colorectal surgery has now become widely adopted for the treatment of colorectal neoplasia, with steady increases in utilization over the past 15 years. Common minimally invasive techniques include multiport laparoscopy, single-incision laparoscopy, and hand-assisted laparoscopy, with the choice of technique depending on several patient and surgeon factors. Laparoscopic colorectal surgery involves a robust learning curve, and fellowship training often lays the foundation for a high-volume laparoscopic practice. This article provides a summary of the various techniques for laparoscopic colorectal surgery, including operative steps, the approach to difficult patients, and the learning curve for proficiency.
腹腔镜结直肠手术现已广泛应用于结直肠肿瘤的治疗，在过去15年中其使用率稳步上升。常见的微创技术包括多端口腹腔镜手术、单切口腹腔镜手术和手辅助腹腔镜手术，技术的选择取决于患者和外科医生的多个因素。腹腔镜结直肠手术存在显著的学习曲线，专科培训往往为大量开展腹腔镜手术奠定基础。本文总结了腹腔镜结直肠手术的各种技术，包括手术步骤、处理复杂病例的方法以及熟练掌握所需的学习曲线。
