腹腔镜右结肠切除术。体内吻合与更好的结果相关

IF 2.7 Q3 ONCOLOGY

Colorectal Cancer Pub Date : 2020-10-14 DOI:10.5772/intechopen.93996

G. Santoro, Simone Novello, U. Grossi, M. Zucchella, A. Nava, G. Zanus

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引用次数: 0

摘要

结肠癌是发达国家男性和女性中第三大常见癌症。腹腔镜右结肠切除术是治疗右结肠癌的标准方法。自1991年首次报道腹腔镜入路以来，手术技术得到了改进，目前所有手术都是在体内进行的。回肠-结肠吻合术有体内吻合术和体外吻合术两种，两种吻合术在临床结局、并发症发生率、住院时间和生活质量等方面的差异尚不清楚，已有大量相关研究发表。根据最近的meta分析，在吻合口漏率、手术部位感染率、切口疝的发生、术后疼痛和胃肠功能的恢复等方面，体外吻合的效果更好。

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Laparoscopic Right Colectomy. Intracorporeal Anastomosis Is Associated with Better Outcome

Colon cancer is the third most common cancer in man and woman in the developed world. Laparoscopic right colectomy is the standard of care for right colon cancer. Since the first report on laparoscopic approach in 1991, the surgical technique has been improved and currently all procedure is performed intracorporeally. The ileo-colic anastomosis can be performed either intracorporeal and extracorporeal: the differences in clinical outcome, complications rate, hospital stay and quality of life between that two techniques are not still clear and a large number of studies has been published about that. According to most recent meta-analysis, intracorporeal anastomosis have showed better outcome in anastomotic leakage rate, surgical site infection rate, development of incisional hernia, postoperative pain and recovery of gastrointestinal function.

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来源期刊

Colorectal Cancer ONCOLOGY-

自引率

0.00%

发文量

期刊介绍： Colorectal cancer is a major cause of morbidity and mortality, particularly in the developed world. Risk factors for colorectal cancer are on the rise in many countries; populations are aging, and obesity and diabetes are increasing. National screening programs are helping to detect cancer while it is still curable; however, colorectal cancer remains the third leading cause of cancer deaths in the USA and options are still limited for those with more advanced disease. Consequently, colorectal cancer is a major research priority for government, pharmaceutical companies and non-profit organizations. Research into diagnosis and optimum treatment of the disease is progressing rapidly, with new advances reported every day. Colorectal Cancer presents reviews, analysis and commentary. on all aspects of colorectal cancer.