腹腔镜手术治疗结直肠癌：外科的方向

Laparoscopic resection for colorectal cancer： the main progress of surgery for colorectal cancer

腹腔镜下结直肠癌手术是否能达到与开腹手术相同的肿瘤根治疗效曾存在争议.近年来,国际上主要的前瞻性大规模随机对照研究及大规模回顾性研究均揭示,腹腔镜下结直肠癌手术不仅具有损伤小、术后疼痛轻、肠道功能恢复快、住院时间短、不增加围手术期并发症等短期疗效,而且在肿瘤局部复发、远处转移、切口复发及长期生存率等方面,均可获得至少与开腹手术相同的远期疗效.相信随着循证医学研究的深入,腹腔镜手术在结直肠癌治疗中的地位将更加明确.

Whether resection for colorectal cancer could achieve the same effect as open surgery had been doubted. Recently, the international large prospective random control tests and large retrospective studies have revealed that laparoscopic resection for colorectal cancer not only has short-term advantages such as minor injuries, less postoperative pain, quicker recovery of bowel function and less postoperative hospital stay, but also had at least the equivalent long-term effects in local recurrence, distant metastasis, incision implantation and long term survival. It is promising that the roll of laparoscopic surgery for colorectal cancer will be defined by more evidence-based medicine study in the near future.