Seminars in Colon and Rectal Surgery最新文献_第4页

New Endoluminal platforms and advancements in technology: Should Gastroenterologists or Surgeons pave the way? 新型腔内平台和先进技术：应由消化内科医生还是外科医生铺平道路？

IF 0.3

Seminars in Colon and Rectal Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.scrs.2024.101025

Alberto Arezzo , Filippo Pepe

{"title":"New Endoluminal platforms and advancements in technology: Should Gastroenterologists or Surgeons pave the way?","authors":"Alberto Arezzo , Filippo Pepe","doi":"10.1016/j.scrs.2024.101025","DOIUrl":"10.1016/j.scrs.2024.101025","url":null,"abstract":"<div><p>Nowadays, endoscopy has achieved amazing results in the treatment of benign and malignant pathologies, but it has yet to establish itself fully in the sense of an operative endoscopy. It is commonly believed that traditional endoscopy has reached its limits due to the intrinsic characteristics of existing platforms. Numerous robotic endoluminal platforms have been developed to overcome limitations in recent years. Existing robotic endoluminal platforms can be divided into three categories: fully robotic flexible endoscopic, robotic add-on systems, and traditional surgery-based platforms. These platforms are incredible pieces of technology, but in reality, they can only be considered a bridge to a genuinely robotic surgical system. Nowadays, both gastroenterologists and surgeons perform endoscopic procedures all over the world. We believe these platforms, leading to increased manipulation possibilities, may require an increasingly excellent knowledge of surgical techniques to develop their potential fully. Surgeons' unique training and experience push surgeons to take the lead in endoscopic operations over gastroenterologists due to the potential advantages in surgical precision and patient outcomes. However, gastroenterologists deeply understand gastrointestinal disorders and a collaborative effort between them and surgeons can lead to an efficient approach to endoscopic surgery.</p></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"35 2","pages":"Article 101025"},"PeriodicalIF":0.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1043148924000241/pdfft?md5=1c7c82c30dfcb4e5d5dfe60fb76cba8e&pid=1-s2.0-S1043148924000241-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141026767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The role of endoluminal surgery in a colorectal surgical practice. A global view 腔内手术在结直肠外科实践中的作用。全球视野。

IF 0.3

Seminars in Colon and Rectal Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.scrs.2024.101023

Ilker Ozgur MD, FACS , Fevzi Cengiz MD

{"title":"The role of endoluminal surgery in a colorectal surgical practice. A global view","authors":"Ilker Ozgur MD, FACS , Fevzi Cengiz MD","doi":"10.1016/j.scrs.2024.101023","DOIUrl":"10.1016/j.scrs.2024.101023","url":null,"abstract":"<div><p>Patients with large colorectal polyps or mucosal neoplasms not amenable to standard polypectomy have traditionally undergone colon resection. However, minimally invasive surgical techniques have gained popularity over the past two decades. Transanal approaches such as transanal endoscopic microsurgery and transanal minimally invasive surgery have enabled surgeons to treat mucosal neoplasms located in the rectum. Later on, robotic surgery was incorporated into the transanal approach. Meanwhile, there was no such treatment option for more proximal colonic neoplasms then, and endoscopic mucosal resection and endoscopic submucosal dissection emerged in Japan to provide resection in treating such proximal lesions. Nowadays, all procedures performed in a hollow organ integrating standard surgical (dissection, resection, suturing, homeostasis) and oncological principles (<em>en-bloc</em> resection, clean surgical margins) are merged under endoluminal surgery. Within the scope of this review, we aimed to elaborate an overview of the role of endoluminal surgery in daily colorectal surgery practice while focusing on endoscopic procedures.</p></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"35 2","pages":"Article 101023"},"PeriodicalIF":0.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141040713","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

Why every colorectal surgeon should learn endoluminal surgery 为什么每位结直肠外科医生都应学习腔内手术？

IF 0.3

Seminars in Colon and Rectal Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.scrs.2024.101019

Jean Wong MBBS, Joshua Sommovilla MD

{"title":"Why every colorectal surgeon should learn endoluminal surgery","authors":"Jean Wong MBBS, Joshua Sommovilla MD","doi":"10.1016/j.scrs.2024.101019","DOIUrl":"10.1016/j.scrs.2024.101019","url":null,"abstract":"<div><p>Endoscopic submucosal dissection (ESD) is an advanced therapeutic technique used to remove non-malignant polyps (NMP) and early cancers. Benefits include reducing unnecessary colectomies, cost, and morbidity of NMP treatment. Other roles for ESD and associated skills are likely to expand in the future, including in the non-operative management of rectal cancer. The learning curve is feasible with established training methods. Colorectal surgeons already perform routine endoscopy and manage endoscopic complications and endoscopically incurable lesions- endoluminal surgery (ELS) is a natural extension of this. Expanding technologies will only improve our ability to resect these lesions endoluminally moving forward. Collaboration with gastroenterologists and acquiring, rather than abandoning, this skillset is important and obtainable. Colorectal surgeons have the tools and professional duty to stay at the forefront of managing colorectal diseases endoscopically. Despite substantial barriers to mastering ELS, the value to our patients and profession means all colorectal surgeons should learn these techniques.</p></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"35 2","pages":"Article 101019"},"PeriodicalIF":0.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1043148924000186/pdfft?md5=9ca7ffdf857e3e36b0d307a0b5f6e255&pid=1-s2.0-S1043148924000186-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141033257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An approach to endoscopic submucosal dissection (ESD) and advanced colonoscopic skills training based on inanimate and ex vivo animal large bowel models 基于无生命和活体动物大肠模型的内镜黏膜下剥离术（ESD）和高级结肠镜技术培训方法

IF 0.3

Seminars in Colon and Rectal Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.scrs.2024.101020

Neil Mitra MD, Pablo Palacios MD, Richard L. Whelan MD

引用次数: 0

Reimbursement and tips and tricks to make endoluminal surgery profitable 使腔内手术有利可图的报销及技巧和窍门

IF 0.3

Seminars in Colon and Rectal Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.scrs.2024.101026

Sarah Choi MD, Kyle G. Cologne MD

引用次数: 0

Combined Endo-Laparoscopic Surgery (CELS) for the management of complex colorectal lesions 联合内镜-腹腔镜手术（CELS）治疗复杂结肠直肠病变

IF 0.3

Seminars in Colon and Rectal Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.scrs.2024.101022

Brian Williams MD, Sang W. Lee MD

{"title":"Combined Endo-Laparoscopic Surgery (CELS) for the management of complex colorectal lesions","authors":"Brian Williams MD, Sang W. Lee MD","doi":"10.1016/j.scrs.2024.101022","DOIUrl":"10.1016/j.scrs.2024.101022","url":null,"abstract":"<div><p>Detection of colon polyps is common and is expected in 20–30 % of screening colonoscopies. As the number of colonoscopies performed increases, the detection of advanced and difficult to resect polyps will also rise. These polyps tend to be larger, greater than 2 cm, have flat morphology, and are in difficult anatomic locations behind haustral folds or at sharp flexures of the colon. Advanced endoscopic techniques such as endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) are useful to remove these polyps. However, many polyps remain unresectable with these techniques. Combined endoscopic laparoscopic surgery (CELS) has shown to be an effective technique to facilitate safe removal of complex polyps. CELS encompasses a variety of techniques including laparoscopic assisted ESD/EMR and laparo-endoscopic full thickness excisions (FLEX). Success rate of CELS ranges from 70 to 100 %, with less than 5 % conversion to colectomy. Perioperative outcomes boast shorter hospital length of stay, with low rates of serious post-op complications when compared to colectomy. Malignancy rate after CELS in appropriately selected patients is low, ranging from 1.6 %-10 % of cases. Polyp recurrence rate after CELS is also low, usually less than 10 %. Use of CELS for early-stage cancers remains controversial but maybe adequate in appropriately selected patients. Further evaluation and long-term studies are needed to study its efficacy in cases of known cancer. The purpose of this review is to provide recommendations for use of CELS techniques, appropriate indications, describe technical tips, and review potential future applications.</p></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"35 2","pages":"Article 101022"},"PeriodicalIF":0.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141027853","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

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

IF 0.3

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

Julia L Gauci , Michael J Bourke

引用次数: 0

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

IF 0.3

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

Bradford Sklow MD

引用次数: 0

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

IF 0.3

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

Jordan Fletcher, Danilo Miskovic

引用次数: 0

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

IF 0.3

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

引用次数: 0