炎性肠病外科百年发展历程

Historical evolution and current concepts of surgical treatment for inflammatory bowel diseases

外科治疗是炎性肠病（IBD）出现肠道并发症或内科治疗失败时重要的治疗手段。对于有手术适应证的患者应及时选择合适的术式进行外科治疗。随着外科手术操作的不断优化和手术方式的不断创新，IBD外科治疗的理念和手术方式在一个多世纪的发展期间已发生了翻天覆地的变化。了解各种治疗理念和手术方式的发展历程．对深入理解及熟练掌握各类术式的适应证和手术技巧具有十分积极的意义。随着生物制剂、腹腔镜、多学科合作等新的技术和理念的发展．IBD外科医师及时更新知识体系是顺应时代进步的必然要求。

Patients with inflammatory bowel disease （IBD） may require surgical intervention for refractory disease or complications. Prompt surgery and appropriate surgical procedures are critical when surgery is indicatedd. With continuous optimization and innovation of surgical procedures, there have been significant changes in the concepts and operations of IBD in the past century. Learning the evolution of surgical treatment for IBD could help us understand the rationale, indications, and pertinent techniques of surgical procedures. Innovations are emerging in IBD management including the advent of biological agents, laparoscopy, and multi-disciplinary team approach, it is imperative for IBD specialist to learn the state-of-the-art knowledge.