机器人结肠镜及其他方面:对现代下胃肠内镜的洞察
Emanuele Tumino1, Pierfrancesco Visaggi1,2, Valeria Bolognesi1
1Endoscopy Unit, Azienda Ospedaliero Universitaria Pisana, 56125 Pisa, Italy.
Diagnostics (Basel, Switzerland)
|July 29, 2023
概括
机器人结肠镜 (RC) 为传统结肠镜 (CC) 提供了一个几乎无痛的替代方案,有可能改善患者对结肠直肠癌查的遵守. 本综述探讨了RC,CTC和CCE作为CC的替代品.
科学领域:
- 胃肠病学 胃肠病学
- 医疗技术 医疗技术 医学技术
- 内镜检查是指内镜检查.
背景情况:
- 常规结肠镜 (CC) 是诊断多胞体的黄金标准,但由于侵入性和不适,患者不愿意接受.
- 在便检测呈阳性后,CC的延迟增加了晚期腺瘤和结直肠癌 (CRC) 的风险.
- 对CC的镇静可以导致并发症,进一步限制其作为一线CRC查策略的使用.
研究的目的:
- 审查机器人结肠镜 (RC),计算机断层结肠镜 (CTC) 和结肠囊内镜 (CCE) 的临床应用.
- 为了比较下部胃肠道检查的各种内镜手术的优缺点.
- 突出RC在克服传统结肠镜检查局限性的潜力.
主要方法:
- 关于RC,CTC和CCE的现有文献的叙述性审查.
- 讨论每个模式的临床应用,好处和缺点.
- 专注于机器人结肠镜的适应性和患者体验.
主要成果:
- 机器人结肠镜表现出灵巧和适应性,使几乎无痛的结肠检查成为可能.
- 替代品,如透水 (BE) 和CTC需要进一步调查可疑的发现.
- RC,CTC和CCE在CC不可行或不喜欢的情况下提供选项.
结论:
- 机器人结肠镜显示,它有望改善患者在结肠直肠癌查中的遵从性.
- RC提供了一种不那么侵入性,并且可能比传统结肠镜检查更舒适的替代方案.
- 需要进一步评估RC,CTC和CCE,以优化它们在胃肠道诊断中的作用.
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