摘要
随着科学技术的不断进步,手术微创化达到了一个新的高度。结直肠肿瘤的治疗,从开腹手术到腹腔镜手术,再到单孔腹腔镜手术(SILS )、经自然腔道内镜手术(NOTES )、经自然腔道取标本手术(NOSES)、机器人手术等,出现了标志着外科手术的再一次革命。结直肠肿瘤NOSES具有疼痛相对轻、恢复快、手术瘢痕小等优势,但它仍处于起步阶段,命名、适应证与禁忌证、无菌原则和无瘤原则、技术平台等尚无统一的标准,需要进一步的临床数据支持。
With the continuous improvement of techniques,mini-invasive surgeries have reached a new peak. There is another great revolution about surgery for colorectal cancer from open surgery to laparoscopic surgery and single-incision laparoscopic surgery (SILS) and natural orifice specimen extraction surgery (NOSES) and robot-assisted laparoscopic surgery. NOSES for colorectal cancer has the advantages of mild pain, quick recovery and small surgical scar, however, it is still in infancy. There is no unified standard in terms of n ami ng, in dications and contraindications, aseptic principle and no-tumor principle, and technology platform, and thus further clinical data support is needed.
作者
金哲康
苗蕾
周少飞
Jin Zhekang;Miao Lei;Zhou Shaofei(Department of General Surgery, Qingdao Municipal Hospital, Qingdao 266000, China)
出处
《肿瘤研究与临床》
CAS
2019年第2期141-144,共4页
Cancer Research and Clinic
关键词
结直肠肿瘤
经自然腔道取标本手术
外科手术
微创性
Colorectal neoplasms
Natural orifice specimen extraction surgery
Surgical procedures, minimally invasive
