完全腹腔镜手术在结肠癌外科治疗中的应用前景

Prospect of totally laparoscopic surgery in colon cancer

随着微创理念的发展与外科器械的革新,完全腹腔镜手术无须过多分离肠管与系膜、取标本切口较小且位置隐蔽,在右半结肠、左半结肠与横结肠切除术中均展示出了较腹腔镜辅助手术有减少术后疼痛、促进术后恢复、降低术后并发症等优势。尽管需要更多的循证医学证据支持,但完全腹腔镜手术已成为了结肠癌手术治疗的方向。

With the development of minimally invasive surgery and innovation of surgical equipment,totally laparoscopic surgery,characterized with less bowel manipulation and mesenteric traction and a shorter and more convert incision,has showed its advantages on reducing postoperative pain,promoting recovery and decreasing postoperative complications in right/left/transverse colectomy compared to laparoscopic-assisted surgery.Although there are short of proofs of evidence-based medicine,totally laparoscopic surgery will become the future of colon cancer surgery.