中国实用外科杂志

中国实用外科杂志

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腹腔镜及机器人手术在结直肠癌肝转移治疗中的合理应用及评价

叶青海，柳    双   

  1. 复旦大学附属中山医院肝外科，上海 200032
  • 出版日期:2016-04-01 发布日期:2016-03-29

  • Online:2016-04-01 Published:2016-03-29

摘要：

手术切除是惟一有希望治愈结直肠癌肝转移的手段。随着微创技术的不断进步，腹腔镜和机器人技术越来越多地应用于结直肠癌肝转移的手术治疗中，并取得了较好的疗效。腹腔镜和机器人技术的应用，只有在结直肠癌肝转移外科治疗的总体原则框架下，严格把握手术指征，合理选择手术时机，才能充分发挥微创技术的优势，以更小的创伤、更小的打击和更小的风险使结直肠癌肝转移病人得到合理的治疗。临床上，在充分考虑每个病人的整体情况后，经过多学科综合治疗协作组讨论，合理应用腹腔镜及机器人等手术方式，将扩大微创手术治疗的优势，给更多的结直肠癌肝转移病人带来更佳的近期和远期疗效。

关键词: 腹腔镜, 机器人手术, 结直肠癌, 肝转移

Abstract:

Rational application and evaluation of laparoscopic and robotic surgery for patients with colorectal liver metastases        YE Qing-hai, LIU Shuang. Department of Hepatic Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032,China
Corresponding author: YE Qing-hai, E-mail: ye.qinghai@
zs-hospital.sh.cn
Abstract    Resection forms the cornerstone of curative treatment for colorectal liver metastases (CRLM) as it confers the best survival benefit for the patients. With the advance of minimally invasive techniques, laparoscopic and robotic surgery are increasingly used in the surgical treatment of CRLM and showed promising outcomes. The applications would reduce surgical trauma, surgical combat and surgical risk for patients with CRLM through giving full play to the advantages of minimally invasive, if surgeons could strictly grasp the indications for minimally invasive surgery and reasonably select the operation time according to the general principles of surgical treatment of CRLM. Clinically, considering every patient's individual condition by multidisciplinary team discussion is also a precondition to properly apply the minimally invasive surgery. Through those measures, more carefully selected patients with CRLM will get the benefits of short-term and long-term from laparoscopic and robotic surgery.

Key words: laparoscopy；robotic surgery；colorectal cancer, liver metastases