Salem Jean F, Gummadi Sriharsha, Marks John H
Division of Colorectal Surgery, Lankenau Medical Center, 100 East Lancaster Avenue, Wynnewood, PA 19096, USA.
Division of Colorectal Surgery, Lankenau Medical Center, 100 East Lancaster Avenue, Wynnewood, PA 19096, USA.
Surg Oncol Clin N Am. 2018 Apr;27(2):303-318. doi: 10.1016/j.soc.2017.11.005.
Colon cancer remains the most common abdominal visceral malignancy affecting both men and women in America. Open colectomy has been the standard of care for colon cancer patients the past 100 years; although highly effective, the major trauma associated with it has a significant morbidity rate and represents a large operation for patients to recover from. Minimally invasive colon surgery was developed as a new and alternative option, and surgeons aim to continue to make it simpler, more reproducible, and easier to teach and learn. We describe herein the current state of minimally invasive colorectal surgery for colon cancer and compare it with open surgery to offer insights to future directions.
结肠癌仍然是美国影响男性和女性的最常见腹部内脏恶性肿瘤。在过去100年里,开放结肠切除术一直是结肠癌患者的标准治疗方法;尽管它非常有效,但与之相关的重大创伤有很高的发病率,对患者来说是一个需要很长时间恢复的大手术。微创结肠手术作为一种新的替代选择而被开发出来,外科医生旨在使其继续变得更简单、更可重复,并且更易于教学和学习。我们在此描述了结肠癌微创结直肠手术的现状,并将其与开放手术进行比较,以提供对未来方向的见解。