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内镜-腹腔镜联合手术:时机与应用方法

Combined Endoscopy-Laparoscopy Surgery: When and How to Utilize This Tool.

作者信息

Wlodarczyk Jordan, Gupta Abhinav, Lee Sang W

机构信息

Division of Colorectal Surgery, Keck School of Medicine, University of Southern California Norris Cancer Center, Los Angeles, California.

出版信息

Clin Colon Rectal Surg. 2023 Jul 21;37(5):309-317. doi: 10.1055/s-0043-1770945. eCollection 2024 Sep.

DOI:10.1055/s-0043-1770945
PMID:39132203
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11309789/
Abstract

Combined endoscopic and laparoscopic surgery (CELS) has been used to resect colon polyps since the 1990s. These colon-sparing techniques, however, have not yet been widely adopted. With the evolution of technology in both diagnosing and treating colon cancer, colorectal surgeons should strive for a diverse and complete armamentarium through which they can best serve their patients. In this article, we hope to provide clarity on CELS by discussing three topics: (1) the history and fruition of CELS; (2) the techniques involved in CELS; and (3) the utility of CELS within different clinical scenarios. Our goal is to educate readers and stimulate consideration of CELS in select patients who might benefit greatly from these techniques.

摘要

自20世纪90年代以来,内镜与腹腔镜联合手术(CELS)已被用于切除结肠息肉。然而,这些保留结肠的技术尚未得到广泛应用。随着结肠癌诊断和治疗技术的发展,结直肠外科医生应努力拥有多样化且完备的医疗手段,以便能为患者提供最佳服务。在本文中,我们希望通过讨论三个主题来阐明CELS:(1)CELS的历史与成果;(2)CELS所涉及的技术;(3)CELS在不同临床场景中的应用。我们的目标是教育读者,并促使他们考虑在某些可能从这些技术中获益匪浅的患者中应用CELS。

相似文献

1
Combined Endoscopy-Laparoscopy Surgery: When and How to Utilize This Tool.内镜-腹腔镜联合手术:时机与应用方法
Clin Colon Rectal Surg. 2023 Jul 21;37(5):309-317. doi: 10.1055/s-0043-1770945. eCollection 2024 Sep.
2
Combined endoscopic and laparoscopic surgery may be an alternative to bowel resection for the management of colon polyps not removable by standard colonoscopy.联合内镜和腹腔镜手术可能是一种替代肠切除术的方法,用于治疗标准结肠镜检查无法切除的结肠息肉。
Surg Endosc. 2013 Jun;27(6):2082-6. doi: 10.1007/s00464-012-2714-5. Epub 2013 Jan 10.
3
Combined endo-laparoscopic surgery (CELS) for benign colon polyps: a single institution cost analysis.内镜腹腔镜联合手术(CELS)治疗良性结肠息肉:单中心成本分析。
Surg Endosc. 2019 Oct;33(10):3238-3242. doi: 10.1007/s00464-018-06610-z. Epub 2018 Dec 3.
4
Combined endoscopic and laparoscopic surgery for the treatment of complex benign colonic polyps (CELS): Observational study.内镜联合腹腔镜手术治疗复杂良性结肠息肉(CELS):观察性研究。
Cir Esp (Engl Ed). 2022 Apr;100(4):215-222. doi: 10.1016/j.cireng.2022.03.005. Epub 2022 Apr 14.
5
Avoiding colorectal resection for polyps: is CELS the best method?避免因息肉进行结直肠切除术:CELS是最佳方法吗?
Surg Endosc. 2016 Mar;30(3):807-18. doi: 10.1007/s00464-015-4279-6. Epub 2015 Jun 20.
6
Combined endoscopic-laparoscopic surgery (CELS) can avoid segmental colectomy in endoscopically unremovable colonic polyps: a cohort study over 10 years.联合内镜腹腔镜手术(CELS)可避免内镜无法切除的结肠息肉的节段性结肠切除术:超过 10 年的队列研究。
Surg Endosc. 2022 Jan;36(1):196-205. doi: 10.1007/s00464-020-08255-3. Epub 2021 Jan 13.
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Combined endoscopic and laparoscopic surgery for the treatment of complex benign colonic polyps (CELS): observational study.内镜与腹腔镜联合手术治疗复杂良性结肠息肉(CELS):观察性研究
Cir Esp (Engl Ed). 2021 Jan 20. doi: 10.1016/j.ciresp.2020.12.013.
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Combined endoscopic laparoscopic surgical treatment of advanced adenomas and early colon cancer.内镜联合腹腔镜手术治疗晚期腺瘤和早期结肠癌。
Dan Med J. 2019 Aug;66(8).
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[Combined endoscopic laparoscopic colon polypectomy].[内镜腹腔镜联合结肠息肉切除术]
Ugeskr Laeger. 2017 Apr 10;179(15).
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Combined endoscopic and laparoscopic surgery (CELS) for early colon cancer in high-risk patients.内镜联合腹腔镜手术(CELS)治疗高危患者早期结肠癌。
Surg Endosc. 2023 Nov;37(11):8511-8521. doi: 10.1007/s00464-023-10385-3. Epub 2023 Sep 28.

本文引用的文献

1
The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Management of Colon Cancer.美国结肠和直肠外科医师协会结肠癌管理临床实践指南
Dis Colon Rectum. 2022 Feb 1;65(2):148-177. doi: 10.1097/DCR.0000000000002323.
2
Screening for Colorectal Cancer: US Preventive Services Task Force Recommendation Statement.结直肠癌筛查:美国预防服务工作组推荐声明。
JAMA. 2021 May 18;325(19):1965-1977. doi: 10.1001/jama.2021.6238.
3
"Unresectable" polyp management utilizing advanced endoscopic techniques results in high rate of colon preservation.利用先进的内镜技术对不可切除的息肉进行处理,可实现高比例的结肠保留。
Surg Endosc. 2022 Mar;36(3):2121-2128. doi: 10.1007/s00464-021-08499-7. Epub 2021 Apr 22.
4
Risk Stratification of T1 Colorectal Cancer Metastasis to Lymph Nodes: Current Status and Perspective.T1 结直肠癌淋巴结转移的风险分层:现状与展望。
Gut Liver. 2021 Nov 15;15(6):818-826. doi: 10.5009/gnl20224.
5
Combined endo-laparoscopic surgery for difficult benign colorectal polyps.联合内镜-腹腔镜手术治疗困难的良性大肠息肉。
J Gastrointest Oncol. 2020 Jun;11(3):475-485. doi: 10.21037/jgo.2019.12.11.
6
Colorectal cancer screening for average-risk adults: 2018 guideline update from the American Cancer Society.美国癌症协会 2018 年普通风险成年人结直肠癌筛查指南更新
CA Cancer J Clin. 2018 Jul;68(4):250-281. doi: 10.3322/caac.21457. Epub 2018 May 30.
7
Association of Colonoscopy Adenoma Findings With Long-term Colorectal Cancer Incidence.结肠镜检查腺瘤发现与长期结直肠癌发病率的关系。
JAMA. 2018 May 15;319(19):2021-2031. doi: 10.1001/jama.2018.5809.
8
Experience in colon sparing surgery in North America: advanced endoscopic approaches for complex colorectal lesions.北美保肛手术经验:复杂结直肠病变的先进内镜方法。
Surg Endosc. 2018 Jul;32(7):3114-3121. doi: 10.1007/s00464-018-6026-2. Epub 2018 Jan 23.
9
Increasing Rates of Surgery for Patients With Nonmalignant Colorectal Polyps in the United States.美国非恶性结直肠息肉患者手术率上升。
Gastroenterology. 2018 Apr;154(5):1352-1360.e3. doi: 10.1053/j.gastro.2018.01.003. Epub 2018 Jan 6.
10
Clinical outcomes of deep invasive submucosal colorectal cancer after ESD.内镜黏膜下剥离术治疗深度浸润性结直肠黏膜下肿瘤的临床疗效。
Surg Endosc. 2018 Apr;32(4):2123-2130. doi: 10.1007/s00464-017-5910-5. Epub 2017 Nov 2.