胃肠道外科的创新:微创手术的演变 - - 一篇叙述性综述
Josephine Walshaw1, Bright Huo2, Adam McClean3
1Academic Vascular Surgical Unit, Hull University Teaching Hospitals NHS Trust, Hull, United Kingdom.
Frontiers in surgery
|June 8, 2023
概括
最少侵入性手术提供了诸如减少疼痛和更快恢复等好处. 本综述审查了微创胃肠道手术的演变和证据,包括腹腔镜和机器人方法.
科学领域:
- 胃肠道手术 胃肠道手术
- 最少侵入性的手术
背景情况:
- 微创手术 (MI) 现在是全球的标准护理,在开放式手术上具有优势.
- 益处包括减少疼痛,缩短住院时间和更快的恢复.
- 胃肠道外科迅速采用了腹腔镜和机器人技术.
研究的目的:
- 提供关于微创胃肠道手术演变的全面概述.
- 批判性地评估这些技术的有效性和安全性的证据.
主要方法:
- 使用PubMed进行了一项文献综述,使用医学主题标题术语.
- 搜索的重点是微创,机器人和腹腔镜结直肠,结肠和直肠手术.
- 证据综合遵循了四步叙事审查方法.
主要成果:
- 微创手术已经在胃肠道手术中彻底改变了患者护理.
- 尽管广泛采用,但争议和知识差距仍然存在.
- 特别令人担忧的领域包括跨门全腹腔切除术 (TaTME) 的瘤学结果以及机器人结直肠和上肠道外科手术的证据.
结论:
- 需要进一步的研究,特别是随机对照试验 (RCT).
- 未来的研究应该比较机器人和腹腔镜方法.
- 未来研究的关键成果包括人体工程学和外科医生的舒适性.
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