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微创手术在炎症性肠病治疗中的作用:当前趋势与未来方向

The Role of Minimally Invasive Surgery in the Management of Inflammatory Bowel Disease: Current Trends and Future Directions.

作者信息

Rathod Sanskruti, Kumar Nishant, Matiz German D, Biju Sheryl, Girgis Peter, Sabu Nagma, Mumtaz Hassan, Haider Ali

机构信息

Surgery, Dr. Panjabrao Deshmukh Memorial Medical College, Amravati, IND.

Surgery, Christian Medical College, Vellore, IND.

出版信息

Cureus. 2024 Jul 31;16(7):e65868. doi: 10.7759/cureus.65868. eCollection 2024 Jul.

Abstract

Minimally invasive surgery (MIS) provides superior results in the surgical treatment of inflammatory bowel disease (IBD). There exist various minimally invasive procedures, each possessing its own set of benefits and drawbacks. This literature review outlines these methodologies and underscores their importance in enhancing the outcomes of patients with IBD. A grand total of 192 studies were carefully chosen and succinctly summarized. Conventional multiport laparoscopy is the most widely used MIS for IBD, with single-incision laparoscopy showing even better results. Robotic surgery offers comparable results but at higher costs and longer operation times. In the future, there will be widespread acceptance of single-incision laparoscopy and robotic surgery due to improved training and reduced expenses. Further research into the technology's utility in different IBD presentations could increase its usage.

摘要

微创手术(MIS)在炎症性肠病(IBD)的外科治疗中能提供更优的治疗效果。存在多种微创手术方法,每种方法都有其自身的一系列优缺点。这篇文献综述概述了这些方法,并强调了它们在改善IBD患者治疗结果方面的重要性。总共精心挑选并简要总结了192项研究。传统的多端口腹腔镜检查是IBD最广泛使用的MIS,单切口腹腔镜检查显示出更好的效果。机器人手术提供了类似的效果,但成本更高且手术时间更长。未来,由于培训的改进和费用的降低,单切口腹腔镜检查和机器人手术将得到广泛接受。对该技术在不同IBD表现中的效用进行进一步研究可能会增加其使用。

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