腹腔镜结直肠癌手术的现状

Current advances of laparoscopic surgery for colorectal carcinoma

腹腔镜手术具有切口小、疼痛轻、住院时间短等优点,应用于结直肠手术在技术上被证明是可行的,但是用于结直肠恶性肿瘤切除尚存在争议,主要是人们对手术的安全性和肿瘤的根治效果尚不明确。本文对近几年腹腔镜结直肠癌手术的文献进行综述,了解其手术疗效的初步结果。结论:腹腔镜用于结直肠癌根治经历了“学习曲线”阶段后,手术并发症和病死率与开腹手术相当,现有的回顾性随访资料显示,复发率和生存率与开腹手术相比也无较大差异,但缺少更有说服力的前瞻性临床随机对照研究资料。

Compared with conventional open surgery, laparoscopic surgery offers a faster recovery, decreased pain, and small wounds. The application of this operation to colectomy is feasible, but has not gained universal acceptance when applying to resection of colorectal carcinoma, for the security and efficacy of the procedure has not been identified. The aim of this article is to get the knowledge about the laparoscopic colectomy for colorectal carcinoma by reviewing the literature of laparoscopic surgery for colorectal cancer published lately. Conclusion : there is no difference in the morbidity and mortality between the laparoscopic surgery and open surgery after the period of learning curve . The available retrospective follow-up data also show no difference in recurrence and survival rate between the laparoscopic and open surgery. But more prospective randomized clinical trial is needed to confirm those results.