中国实用外科杂志 ›› 2009, Vol. 29 ›› Issue (04): 305-308.
• 专题笔谈 • 上一篇 下一篇
李国新
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摘要:
腹腔镜中低位直肠癌手术的技术安全性和可行性得到了大量临床研究的证实,其术后恢复快、疼痛轻、住院时日短等微创意义日趋明显。腹腔镜下可以严格遵守全直肠系膜切除和肿瘤学原则,保证了肿瘤学安全性。腹腔镜应用于新辅助放化疗直肠癌的安全性也得到了初步论证,在肛门括约肌保留和术后性功能及排尿功能影响等方面可能较开腹更有优势。最新的临床研究结果肯定了腹腔镜在中低位直肠癌外科治疗中的应用价值,显示了乐观的前景,但其临床应用仍需多中心前瞻性随机对照研究数据的支持。
关键词: 直肠肿瘤, 腹腔镜
Abstract:
Assesment of laparoscopic surgery for mid-low rectal cancer LI Guo-xin.Department of General Surgery,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China Abstract The technical safty and feasibility of laparoscopic procedure for mid-low rectal cancer were confirmed by increasing clinical studies .The short-term advantages of fast postoperative recovery,less pain and short hospital stay for laparoscopic rectal cancer surgery were shown in a growing body of literatures. Laparoscopic surgery for mid-low rectal cancer could strictly adhere to the oncological principle to guarantee the oncologic safty . Laparoscopic approach might be superior to the open surgery in terms of anal sphincter saving and impact on bladder and sexual function,and could be safe and feasible in total mesorectal excision with preoperative chemoradiation therapy.In conclusion,the data from the recent trials have shown promising clinical benefits of short-term advantages as well as long-term oncologic equivalence for laparoscopic surgery for mid-low rectal cancer.However,adequately powered,multiple center trials are justified and necessary to assess the role of laparoscopy in mid-low rectal cancer surgery.
Key words: rectal tumor, laparoscopy
李国新. 腹腔镜在中低位直肠癌外科治疗中的价值与评价[J]. 中国实用外科杂志, 2009, 29(04): 305-308.
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