Minimally invasive surgery for colorectal cancer emergencies.

IF 3.2 Q3 ONCOLOGY
Neng-Wei Wong, Salman Ahmed Abdul Jabbar, James Chi-Yong Ngu, Nan-Zun Teo
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引用次数: 0

Abstract

Colorectal cancer (CRC) is a leading cause of cancer-related morbidity and mortality globally, and its management in the emergency setting presents distinct challenges. In addition to its advantages in elective CRC surgery, studies have demonstrated that minimally invasive surgery (MIS) can provide benefits in CRC emergencies, such as reduced morbidity and a shorter length of hospitalization. However, the applicability of MIS in the emergency setting is limited by factors such as compromised patient physiology, resource constraints, and the need for technical expertise. As an alternative to emergency MIS, endoscopic interventions have also been increasingly supported by emerging evidence as a bridge to surgery. This article appraises contemporary guidelines and the evidence behind their recommendations for MIS surgery in CRC emergencies, whilst highlighting the challenges to implementation and the strategies to overcome them.

结直肠癌急诊微创手术。
结直肠癌(CRC)是全球癌症相关发病率和死亡率的主要原因,其在紧急情况下的管理提出了独特的挑战。除了在选择性结直肠癌手术中的优势外,研究表明微创手术(MIS)可以在结直肠癌急诊中提供益处,例如降低发病率和缩短住院时间。然而,MIS在紧急情况下的适用性受到诸如患者生理机能受损、资源限制和对技术专门知识的需求等因素的限制。作为紧急MIS的替代方案,内窥镜干预也越来越多地得到新证据的支持,作为手术的桥梁。本文评估了当代指南及其在CRC紧急情况下MIS手术建议背后的证据,同时强调了实施的挑战和克服这些挑战的策略。
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发文量
585
期刊介绍: The WJCO is a high-quality, peer reviewed, open-access journal. The primary task of WJCO is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of oncology. In order to promote productive academic communication, the peer review process for the WJCO is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJCO are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in oncology. Scope: Art of Oncology, Biology of Neoplasia, Breast Cancer, Cancer Prevention and Control, Cancer-Related Complications, Diagnosis in Oncology, Gastrointestinal Cancer, Genetic Testing For Cancer, Gynecologic Cancer, Head and Neck Cancer, Hematologic Malignancy, Lung Cancer, Melanoma, Molecular Oncology, Neurooncology, Palliative and Supportive Care, Pediatric Oncology, Surgical Oncology, Translational Oncology, and Urologic Oncology.
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