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单孔腹腔镜结直肠癌手术并发症的预防与处理 被引量:4

Prevention and management of complications in single-port laparoscopic surgery for colorectal cancer
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摘要 自20世纪90年代起,微创手术(minimally in⁃vasive surgery,MIS)开始应用于结直肠癌的手术治疗,随后微创手术迅速发展,其优势主要有:肠道功能恢复较早、术后疼痛较轻以及住院时间更短。2008年,Bucher等[1]和Remzi等[2]报道了单孔腹腔镜结肠切除术,从此开启微创手术的新篇章。由于技术难度颇高,当时单孔腹腔镜结直肠癌手术仅限于右半结肠癌,但随着技术的发展,左半结肠癌、直肠癌手术也可利用单孔腹腔镜手术完成,其应用范围越来越广。近几年来单孔腹腔镜手术相关报道文献数量在增加,研究也从回顾性研究逐步向多中心随机前瞻性研究发展[3-4]。与常规腹腔镜手术相比,单孔腹腔镜手术的优势主要体现在切口缩短,即从腹部5个戳孔加一个5 cm切口,简化到无戳孔只有3cm左右的小切口,切口缩短了,创伤更小,美容效果更好。
作者 赵任 蒋奕玫 Zhao Ren;Jiang Yimei
出处 《结直肠肛门外科》 2020年第5期534-537,共4页 Journal of Colorectal & Anal Surgery
基金 上海市卫生健康委先进适宜技术推广项目(2019SY058) 上海市卫计委重点项目(201540026)。
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