腹腔镜结直肠肿瘤手术术前定位方法的应用现状

Application status of preoperative positioning methods in laparoscopic colorectal cancer surgery

腹腔镜微创手术是目前治疗结直肠肿瘤最常见的手术方式,由于其较好的短期疗效,越来越受到中青年医师的青睐。但腹腔镜手术缺乏传统开放手术的直接触感,往往不能对较小的肿瘤精确定位,进而导致手术难度增加,手术时间延长等不良后果,因此术前准确定位是选择腹腔镜结直肠肿瘤手术的前提条件。本文就临床常用的肠道肿瘤定位方法结合相关文献及本中心经验做一综述,为临床医师选择经济、便捷、高效、个体化的肿瘤定位方法提供参考。

Minimally invasive laparoscopic surgery is the most common surgical type for colorectal tumors.It has been widely accepted by surgeons,due to its short-term benefits.However,it is hard to accurately locate small tumors in laparoscopic surgeries result from the lack of tactile feedback,and it could increase perioperative morbidity and operation time.Therefore,precise preoperative tumor location is crucial for laparoscopic surgery.In this review,we summarized the commonly used intestinal tumor localization methods,and shared experience of our center to provide some useful information for clinicians to select cost-effective,convenient and individualized tumor localization method.