Kneist Werner
Klinik für Allgemein‑, Viszeral- und Thoraxchirurgie, Klinikum Darmstadt GmbH, Grafenstraße 9, 64283, Darmstadt, Deutschland.
Inn Med (Heidelb). 2025 Feb;66(2):174-180. doi: 10.1007/s00108-024-01846-5. Epub 2025 Jan 30.
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.
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。