腹腔镜辅助切口在结直肠癌治疗中的应用进展

Q3 Pharmacology, Toxicology and Pharmaceutics
Yuhao Qiu, Dahong Zhang, Feng Pi, Zhengqiang Wei
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引用次数: 0

摘要

结直肠癌的发病率在不断上升。随着居民健康需求的提高和外科技术的不断发展,越来越多的结直肠癌患者有腹部手术史。复杂的腹部粘连对外科医生提出了更高的要求。在腹腔镜辅助大肠癌手术中使用Veress穿刺针建立气腹导致穿刺侧损伤发生率增加。剖腹手术是减少穿刺损伤的有效方法,但仍有一定的局限性。结合大多数腹腔镜辅助结直肠癌手术需要辅助切口的事实,提前切口似乎是一个合理的解决方案。其应用不仅限于既往有手术史的患者,也可常规应用于所有结直肠癌患者。其有效性和安全性有待进一步的临床研究验证。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Application Progress Of Auxiliary Incision Based On Open Laparoscopy In The Treatment Of Colorectal Cancer
The incidence of colorectal cancer is constantly increasing. With the improvement of residents' health need and the continuous development of surgery, more and more patients with colorectal cancer have a history of abdominal surgery. Complex abdominal adhesions put forward higher requirements for surgeons. The use of Veress puncture needle to establish pneumoperitoneum in laparoscopic-assisted colorectal cancer surgery leads to an increased incidence of puncture side injury.Open laparoscopy is an effective method to reduce puncture damages, but there are still some limitations. Combined with the fact that most laparoscopic assisted colorectal cancer operations require auxiliary incisions, advance incision seems to be a reasonable solution. Its application is not limited to patients with previous surgical history, but also can be routinely applied to all patients with colorectal cancer. Its efficacy and safety need to be verified by further clinical studies.
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