经自然腔道内镜手术:临床应用与未来展望

Natural Orifice Surgery:Current Applications and Future Perspectives

目的可弯曲内镜经自然腔道进入腹腔进行手术,标志着微创治疗在追求无瘢痕手术目标的重大进步。在众多研究机构数年的共同努力之下,自然腔道手术逐渐成为一种可靠的治疗方法,既能采用完全内镜方式,又可结合腹壁微创辅助支持。充满希望的手术结果,及能左右患者决定并可引起极大关注的总是寻找疗效确切、微创、恢复迅速的治疗手段。上述因素不断推动相应专业的发展,而各种技术壁垒的突破将使自然腔道-无瘢痕手术更为简便,并能重复进行,甚至用于治疗复杂病例。自然腔道手术具有结束外科手术与瘢痕疼痛如影随形历史的潜能,并因高度重视患者身心健全,成为一种极具吸引力的手术选择。

The possibility to operate into the abdominal cavity by means of flexible endoscopes introduced through natural orifices represents a major step forward in the continuous research for minimal invasive treatment attaining the unimaginable goal of no scar surgery.After several years of investigation in experimental settings,natural orifice surgery is becoming a valuable therapeutic option both as totally transluminal endoscopic approach or with the support of minimal transabdominal assistance.The promising operative results and the great interest determined among the patients always looking for effective treatment associated with less bodily trauma,postoperative pain and faster recovery,are pushing the development of dedicated technological solutions that will make natural orifice-no scar surgery more easy and reproducible to perform and applicable also to more advanced diseases.Natural orifice surgery has the potential to abolish the historical association of surgery to that of scar and pain representing a very appealing surgical option for the patients highly respectful of their body and psychological integrity.[