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腹腔镜结肠切除术:当前技术水平

Laparoscopic colectomy: status of the art.

作者信息

Beart R W

机构信息

Department of Surgery, University of Southern California, Los Angeles 90033-4612.

出版信息

Dis Colon Rectum. 1994 Feb;37(2 Suppl):S47-9. doi: 10.1007/BF02048431.

DOI:10.1007/BF02048431
PMID:8313792
Abstract

PURPOSE

The aim of this study was to review the progress made in removing the colon with laparoscopic technique.

BASIC PROCEDURES

Literature review and personal experiences.

MAIN FINDINGS

Laparoscopy is a safe and efficacious technique for the removal of segments of the colon for benign indications. Malignant lesions can be removed laparoscopically with satisfactory margins, but long-term efficacy has not been established. Laparoscopic-assisted surgery appears to be associated with improved preservation of bowel and other physiologic function while decreasing narcotic requirements and length of hospital stay.

CONCLUSION

Laparoscopy will likely be the technique of choice for removing segments of the colon in select situations.

摘要

目的

本研究旨在回顾腹腔镜技术在结肠切除方面取得的进展。

基本步骤

文献综述及个人经验。

主要发现

腹腔镜检查是一种安全有效的技术,可用于切除结肠的良性病变节段。恶性病变可通过腹腔镜切除,切缘满意,但长期疗效尚未确立。腹腔镜辅助手术似乎有助于更好地保留肠道及其他生理功能,同时减少麻醉药物需求和缩短住院时间。

结论

在某些特定情况下,腹腔镜检查可能会成为结肠节段切除的首选技术。

相似文献

1
Laparoscopic colectomy: status of the art.腹腔镜结肠切除术:当前技术水平
Dis Colon Rectum. 1994 Feb;37(2 Suppl):S47-9. doi: 10.1007/BF02048431.
2
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Laparoscopic Colectomy Versus Open Colectomy for Treatment of Transverse Colon Cancer: A Systematic Review and Meta-Analysis.腹腔镜结肠切除术与开放结肠切除术治疗横结肠癌的系统评价和Meta分析
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Dis Colon Rectum. 2014 Apr;57(4):415-22. doi: 10.1097/DCR.0000000000000060.

引用本文的文献

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What is the definition of "conversion" in laparoscopic colorectal surgery?腹腔镜结直肠手术中“转换”的定义是什么?
Surg Endosc. 2009 Oct;23(10):2321-6. doi: 10.1007/s00464-009-0329-2. Epub 2009 Mar 6.
2
Pneumoperitoneum and peritoneal surface changes: a review.气腹与腹膜表面变化:综述
Surg Endosc. 2004 Sep;18(9):1316-22. doi: 10.1007/s00464-003-8238-2. Epub 2004 May 12.
3
Impact of gas(less) laparoscopy and laparotomy on peritoneal tumor growth and abdominal wall metastases.气腹(无气)腹腔镜手术与开腹手术对腹膜肿瘤生长及腹壁转移的影响
Ann Surg. 1996 Dec;224(6):694-700; discussion 700-1. doi: 10.1097/00000658-199612000-00005.
4
Laparoscopic colorectal resection. A multicenter Italian study.
Surg Endosc. 1996 Sep;10(9):875-9. doi: 10.1007/BF00188473.
5
Laparoscopic surgery in the rat. Beneficial effect on body weight and tumor take.大鼠的腹腔镜手术。对体重和肿瘤形成的有益影响。
Surg Endosc. 1996 May;10(5):490-4. doi: 10.1007/s004649910096.
6
Prospective evaluation of laparoscopic-assisted large bowel excision for cancer.腹腔镜辅助大肠癌切除术的前瞻性评估
Ann Surg. 1996 Feb;223(2):170-6. doi: 10.1097/00000658-199602000-00009.
7
Short-term outcome analysis of a randomized study comparing laparoscopic vs open colectomy for colon cancer.一项比较腹腔镜与开放结肠癌切除术的随机研究的短期结果分析
Surg Endosc. 1995 Oct;9(10):1101-5. doi: 10.1007/BF00188996.