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[炎症性肠病外科治疗选择的最新进展]

[An update on surgical treatment options for inflammatory bowel disease].

作者信息

Kneist Werner

机构信息

Klinik für Allgemein‑, Viszeral- und Thoraxchirurgie, Klinikum Darmstadt GmbH, Grafenstraße 9, 64283, Darmstadt, Deutschland.

出版信息

Inn Med (Heidelb). 2025 Feb;66(2):174-180. doi: 10.1007/s00108-024-01846-5. Epub 2025 Jan 30.

DOI:10.1007/s00108-024-01846-5
PMID:39883175
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11799054/
Abstract

There are national and international guidelines and developments for the surgery of chronic inflammatory bowel disease (IBD) that contribute to better patient care. Important recommendations include increasingly individualized and minimally invasive approaches with the integration of new technologies. The indication for abdominal surgery remains tied to specialization, not least in order to continue to be able to assess the importance of sequential treatment and multimodality in improving surgical results and minimizing risks. This paper aims to briefly present key surgical aspects and classify them according to the current state of knowledge.

摘要

对于慢性炎症性肠病（IBD）的手术，有国家和国际层面的指南及进展，这有助于为患者提供更好的护理。重要建议包括越来越个体化和微创的方法以及新技术的整合。腹部手术的适应症仍与专业化相关，尤其是为了能够持续评估序贯治疗和多模式治疗在改善手术效果及降低风险方面的重要性。本文旨在简要介绍关键的手术要点，并根据当前的知识状况对其进行分类。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b19/11799054/f97032eb68ad/108_2024_1846_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b19/11799054/3c0e0bf08dbd/108_2024_1846_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b19/11799054/110f3d45ceb6/108_2024_1846_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b19/11799054/bbd58aadf055/108_2024_1846_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b19/11799054/f97032eb68ad/108_2024_1846_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b19/11799054/3c0e0bf08dbd/108_2024_1846_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b19/11799054/110f3d45ceb6/108_2024_1846_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b19/11799054/bbd58aadf055/108_2024_1846_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b19/11799054/f97032eb68ad/108_2024_1846_Fig4_HTML.jpg

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本文引用的文献

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Sarcopenia Is a Risk Factor for Postoperative Complications Among Older Adults With Inflammatory Bowel Disease.肌肉减少症是老年炎症性肠病患者术后并发症的一个危险因素。
Inflamm Bowel Dis. 2025 Jun 13;31(6):1537-1547. doi: 10.1093/ibd/izae187.
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Effect of mesenteric sparing or extended resection in primary ileocolic resection for Crohn's disease on postoperative endoscopic recurrence (SPICY): an international, randomised controlled trial.
保留肠系膜或扩大切除术对克罗恩病原发性回肠结肠切除术后内镜复发的影响（SPICY）：一项国际随机对照试验。
Lancet Gastroenterol Hepatol. 2024 Sep;9(9):793-801. doi: 10.1016/S2468-1253(24)00097-9. Epub 2024 Jul 15.
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Impact of sex and socioeconomic status on the likelihood of surgery, hospitalization, and use of medications in inflammatory bowel disease: a systematic review and meta-analysis.性别和社会经济地位对炎症性肠病手术、住院和药物使用可能性的影响：系统评价和荟萃分析。
Syst Rev. 2024 Jun 24;13(1):164. doi: 10.1186/s13643-024-02584-3.
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Impact of Kono-S anastomosis on quality of life after ileocolic resection in Crohn's disease: an analysis from the SuPREMe-CD trial.科诺- S吻合术对克罗恩病回结肠切除术后生活质量的影响：来自苏普瑞姆- CD试验的分析。
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Surgical optomics: hyperspectral imaging and deep learning towards precision intraoperative automatic tissue recognition-results from the EX-MACHYNA trial.手术光学：高光谱成像和深度学习在精准术中自动组织识别中的应用——来自 EX-MACHYNA 试验的结果。
Surg Endosc. 2024 Jul;38(7):3758-3772. doi: 10.1007/s00464-024-10880-1. Epub 2024 May 24.
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Controversies in IPAA for Ulcerative Colitis: A Systematic Review of Different Anastomotic Techniques.关于溃疡性结肠炎 IPAA 的争议：不同吻合技术的系统评价。
Dis Colon Rectum. 2024 Jun 1;67(S1):S26-S35. doi: 10.1097/DCR.0000000000003292. Epub 2024 Feb 7.
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Transanal ileal pouch-anal anastomosis: A systematic review and meta-analysis of technical approaches and clinical outcomes.经肛门回肠储袋肛管吻合术：技术方法和临床结果的系统评价和荟萃分析。
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Colorectal Dis. 2024 May;26(5):886-898. doi: 10.1111/codi.16977. Epub 2024 Apr 9.