Chang Y, Zhou Q B, Yuan W T
Department of Colorectal Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.
Zhonghua Wei Chang Wai Ke Za Zhi. 2023 Aug 25;26(8):740-744. doi: 10.3760/cma.j.cn441530-20230507-00153.
Cooperative laparoscopic or robotic-endoscopic surgery has emerged as a promising approach for the treatment of early-stage colorectal cancers that are difficult to treat with endoscopic techniques alone. Cooperative surgery allows organ and function preservation by complementing the advantages of each modality, providing minimally invasive, precise and personalized treatment options. Laparoscopic-endoscopic cooperative surgery includes laparoscopic-assisted endoscopic resection, combined laparoscopic-endoscopic full-thickness resection, endoscopic-assisted laparoscopic wedge resection, endoscopic-assisted laparoscopic segmental resection, and laparoscopic-endoscopic cooperative surgery with sentinel lymph node dissection. Nearly three decades of clinical research and practice have demonstrated the safety and efficacy of laparoscopic and endoscopic cooperative surgery in the treatment of colorectal tumors. With the progress of the minimally invasive concept, the development of minimally invasive technology and the innovation of minimally invasive equipment, laparoscopy and endoscopy cooperative surgery is expected to have a proper place in the treatment of colorectal tumors.
合作式腹腔镜或机器人辅助内镜手术已成为一种有前景的治疗方法，用于治疗仅靠内镜技术难以治疗的早期结直肠癌。合作手术通过互补每种方式的优势，实现器官和功能保留，提供微创、精准且个性化的治疗选择。腹腔镜-内镜合作手术包括腹腔镜辅助内镜切除术、腹腔镜-内镜联合全层切除术、内镜辅助腹腔镜楔形切除术、内镜辅助腹腔镜节段性切除术以及腹腔镜-内镜合作前哨淋巴结清扫术。近三十年的临床研究与实践已证明腹腔镜与内镜合作手术在治疗结直肠肿瘤方面的安全性和有效性。随着微创理念的进步、微创技术的发展以及微创设备的创新，腹腔镜与内镜合作手术有望在结直肠肿瘤治疗中占据一席之地。
