Seminars in Colon and Rectal Surgery最新文献_第3页

Management of complex colorectal lesions from the endoscopic tissue resection specialist perspective 从内窥镜组织切除专家的角度看复杂结肠直肠病变的管理

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Seminars in Colon and Rectal Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.scrs.2024.101021

Julia L Gauci , Michael J Bourke

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How to adopt endoluminal surgery in a new colorectal surgery practice and endoluminal management of T1 colon cancers 如何在新的结直肠外科实践中采用腔内手术以及 T1 结肠癌的腔内治疗

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Seminars in Colon and Rectal Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.scrs.2024.101024

Bradford Sklow MD

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Computer-Generated modelling in surgery 外科手术中的计算机生成模型

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Seminars in Colon and Rectal Surgery Pub Date : 2024-03-01 DOI: 10.1016/j.scrs.2024.101003

Jordan Fletcher, Danilo Miskovic

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The evolution of natural orifice transluminal endoscopic surgery (NOTES) in colon & rectal surgery 结肠和直肠外科自然腔道内窥镜手术（NOTES）的发展历程

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Seminars in Colon and Rectal Surgery Pub Date : 2024-03-01 DOI: 10.1016/j.scrs.2024.101005

Katherine F Donovan MD , Ameer Farooq MD , Patricia Sylla MD

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Biofluorescence in surgery: Present and future 外科手术中的生物荧光--现状与未来

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Seminars in Colon and Rectal Surgery Pub Date : 2024-03-01 DOI: 10.1016/j.scrs.2024.101004

Mr Rory F. Kokelaar MBBS MA (Oxon) MEd FRCS (Eng) PhD (Clinical Associate Professor) , Mr Manish Chand MBBS BSc FRCS (Eng) FASCRS MBA PhD (Associate Professor of Surgery)

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Endoluminal and next generation robotics in colorectal surgery 结直肠手术中的腔内和下一代机器人技术

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Seminars in Colon and Rectal Surgery Pub Date : 2024-03-01 DOI: 10.1016/j.scrs.2024.101006

Barbara Seeliger MD, PhD , Jacques Marescaux MD, PhD

{"title":"Endoluminal and next generation robotics in colorectal surgery","authors":"Barbara Seeliger MD, PhD , Jacques Marescaux MD, PhD","doi":"10.1016/j.scrs.2024.101006","DOIUrl":"10.1016/j.scrs.2024.101006","url":null,"abstract":"<div><p>Innovative approaches leverage cutting-edge technologies to advance the field of minimally invasive colorectal surgery. The implementation of complex endoluminal and transluminal procedures is challenging and requires extensive training. Recent technological advances not only enable improved detection of colorectal neoplasms with the support of computer science, but also enhanced surgical treatment with robotic instrumentation. Early diagnosis will revolutionize colorectal cancer treatment by avoiding surgery, as has been demonstrated in the treatment of early-stage gastric cancer using third-space endoscopy. Automated colorectal cancer screening with polyp detection and classification can change the therapeutic strategy and orient towards resection during endoscopy, including full-thickness resection, with endoscopic bimanual suturing to close the defect. Several therapeutic flexible endoscopic robotic systems are expected to provide surgery-like dexterity for endo- and transluminal approaches by enabling tissue triangulation while lowering the technical hurdles for endoscopic submucosal dissection and other highly sophisticated procedures such as endoscopic creation or revision of anastomoses. In the curvilinear anatomy of the colon and rectum, navigation assistance for improved spatio-temporal orientation will aid in the detection and documentation of lesions and facilitate their localization for excision and follow-up. Flexible robotic systems encourage surgeons as well as gastroenterologists to perform advanced intra- and transluminal resections.</p></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"35 1","pages":"Article 101006"},"PeriodicalIF":0.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139823455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Computer vision in colorectal surgery: Current status and future challenges 结直肠手术中的计算机视觉：现状与未来挑战

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Seminars in Colon and Rectal Surgery Pub Date : 2024-03-01 DOI: 10.1016/j.scrs.2024.101008

Daichi Kitaguchi, Masaaki Ito

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The role of artificial intelligence in colonoscopy 人工智能在结肠镜检查中的作用

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Seminars in Colon and Rectal Surgery Pub Date : 2024-03-01 DOI: 10.1016/j.scrs.2024.101007

Hyun Jae Kim , Nasim Parsa , Michael F. Byrne

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Transitions 转换

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Seminars in Colon and Rectal Surgery Pub Date : 2023-10-21 DOI: 10.1016/j.scrs.2023.100991

Thomas E. Read MD, FACS, FASCRS

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The failed colorectal anastomosis: Turnbull–Cutait as a salvage option 结直肠吻合术失败:特恩布尔切口术作为挽救选择

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Seminars in Colon and Rectal Surgery Pub Date : 2023-10-20 DOI: 10.1016/j.scrs.2023.100988

Carla F. Justiniano MD, MPH , Tracy Hull MD

{"title":"The failed colorectal anastomosis: Turnbull–Cutait as a salvage option","authors":"Carla F. Justiniano MD, MPH , Tracy Hull MD","doi":"10.1016/j.scrs.2023.100988","DOIUrl":"10.1016/j.scrs.2023.100988","url":null,"abstract":"<div><p><span><span>The incidence of colorectal anastomotic leaks is approximately 5–19 % of cases, posing a threat to intestinal continuity, particularly if the leak arises after a low or ultra-low </span>colorectal anastomosis. A Turnbull–Cutait procedure can be a salvage option for such patients and they may be eligible if they are adequate redo </span>pelvic surgery<span><span> candidates, who are motivated to regain intestinal continuity, and who have good continence and anal function at baseline. The first stage of the procedure is colonic mobilization and pull-through after perineal division at the top of the anorectal complex and mucosectomy. A diverting loop </span>ileostomy<span><span> is utilized. The second stage is amputation of the excess colon and creation of a hand-sewn colo-anal anastomosis, typically performed 7 days later. Outcomes after a Turnbull–Cutait procedure are reasonable based on a series from specialized centers with 80–90 % of patients having a complete Turnbull–Cutait and reversal of the diverting ileostomy. Low anterior resection syndrome is common. In the long-term, studies show that just over half of patients will remain stoma free at 5 years; </span>fecal incontinence is the main reason for failure and return to a stoma. The prospect of a Turnbull–Cutait can be kept in mind when addressing an anastomotic leak in appropriate patients; this may allow for surgical decision-making that makes it feasible to utilize a Turnbull–Cutait in the future.</span></span></p></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"34 4","pages":"Article 100988"},"PeriodicalIF":0.3,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135965474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0