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腹腔镜结肠切除术:加拿大和全球的实施趋势。

Laparoscopic colectomy: trends in implementation in Canada and globally.

机构信息

From the Division of General Surgery, Department of Surgery, Dalhousie University, Halifax, NS (Hoogerboord, Ellsmere); the Division of General Surgery, Department of Surgery, Northern Ontario School of Medicine, Sudbury, Ont. (Caycedo-Marulanda); the Division of General Surgery, Department of Surgery, University of British Columbia, Vancouver, BC (Brown); the Division of General Surgery, Department of Surgery, University of Toronto, Toronto, Ont. (Jayaraman, Urbach); the Department of Surgery, St. Joseph’s Health Centre, Toronto, Ont. (Jayaraman); the Department of Surgery, Women’s College Hospital, Toronto, Ont. (Urbach); and the Department of Surgery, Mayo Clinic, Rochester, MN (Cleary).

出版信息

Can J Surg. 2019 Apr 1;62(2):139-141. doi: 10.1503/cjs.003118.

DOI:10.1503/cjs.003118
PMID:30907994
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6440892/
Abstract

Comparisons with other high-income countries suggest that Canada has been slower to adopt laparoscopic colectomy (LC). The Canadian Association of General Surgeons sought to evaluate the barriers to adoption of laparoscopic colon surgery and to propose potential intervention strategies to enhance the use of the procedure. Given the clinical benefits of laparoscopic surgery for patients, the increasing needs for surgical care and the desire of Canadian general surgeons to advance their specialty and enhance the care of their patients, it is an important priority to improve the utilization of LC.

摘要

与其他高收入国家相比,加拿大采用腹腔镜结肠切除术(LC)的速度较慢。加拿大普通外科医师协会试图评估采用腹腔镜结肠手术的障碍,并提出潜在的干预策略来增强该手术的应用。鉴于腹腔镜手术对患者的临床益处、对手术护理的需求不断增加以及加拿大普通外科医师希望推进其专业并加强对患者的护理,提高 LC 的利用率是一个重要的优先事项。

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本文引用的文献

1
Uptake of elective laparoscopic colectomy for colon cancer in Canada from 2004/05 to 2014/15: a descriptive analysis.2004/05至2014/15年加拿大结肠癌选择性腹腔镜结肠切除术的采用情况:一项描述性分析。
CMAJ Open. 2018 Sep 18;6(3):E384-E390. doi: 10.9778/cmajo.20180002. Print 2018 Jul-Sep.
2
Variations in Laparoscopic Colectomy Utilization in the United States.美国腹腔镜结肠切除术应用情况的差异
Dis Colon Rectum. 2015 Oct;58(10):950-6. doi: 10.1097/DCR.0000000000000448.
3
Closing in on surgical practice variations.
Ann Surg. 2014 Apr;259(4):628-9. doi: 10.1097/SLA.0000000000000629.
4
Population-based study of laparoscopic colorectal cancer surgery 2006-2008.2006-2008 年基于人群的腹腔镜结直肠癌手术研究。
Br J Surg. 2013 Mar;100(4):553-60. doi: 10.1002/bjs.9023. Epub 2013 Jan 3.
5
Minimally invasive surgery adoption into an established surgical practice: impact of a fellowship-trained colleague.将微创手术引入成熟的外科手术实践中: fellowship-trained 同事的影响。
Surg Endosc. 2013 Apr;27(4):1267-72. doi: 10.1007/s00464-012-2594-8. Epub 2012 Dec 12.
6
Trends in colon cancer surgery in Ontario: 2002-2009.安大略省结肠癌手术趋势:2002-2009 年。
Colorectal Dis. 2012 Oct;14(10):e708-12. doi: 10.1111/j.1463-1318.2012.03166.x.
7
Successful and safe introduction of laparoscopic colorectal cancer surgery in Dutch hospitals.荷兰医院成功且安全地开展腹腔镜结直肠癌手术。
Ann Surg. 2013 May;257(5):916-21. doi: 10.1097/SLA.0b013e31825d0f37.
8
Outcomes of laparoscopic colon cancer surgery in a population-based cohort in British Columbia: are they as good as the clinical trials?不列颠哥伦比亚基于人群的队列中腹腔镜结肠癌手术的结果:是否与临床试验一样好?
Am J Surg. 2012 Oct;204(4):411-5. doi: 10.1016/j.amjsurg.2011.11.015. Epub 2012 May 17.
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The adoption of laparoscopic colorectal surgery: a national survey of general surgeons.腹腔镜结直肠手术的应用:普通外科医生的全国性调查
Can J Surg. 2009 Dec;52(6):455-62.
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Canadian consensus conference on the development of training and practice standards in advanced minimally invasive surgery: Edmonton, Alta., Jun. 1, 2007.加拿大高级微创手术培训与实践标准制定共识会议:阿尔伯塔省埃德蒙顿,2007年6月1日。
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