单切口 laparoscopic 结肠手术:一个系统性审查,元分析和未来前景
Yozo Suzuki1, Mitsuyoshi Tei2, Masaki Wakasugi3
1Department of Gastroenterological Surgery, Toyonaka Municipal Hospital, Osaka, Japan.
Journal of the anus, rectum and colon
|May 1, 2024
概括
单切口腹腔镜切除术 (SILC) 是结直肠癌手术的安全和可行的选择,与多端口腹腔镜切除术 (MPLC) 相比,结果没有显著差异. 然而,它的采用已经停滞不前,可能是由于新的机器人平台.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 最少侵入性的手术
- 手术瘤学手术瘤学
背景情况:
- 单切口腹腔镜手术 (SILS) 为结肠手术提供了一种不那么侵入性的方法.
- 尽管最初有兴趣,但SILS的采用速度比预期的要慢.
- SILS的可行性,安全性和瘤疗效需要持续评估.
研究的目的:
- 系统地审查和对单切口腹腔镜切除术 (SILC) 的可行性,安全性和瘤学结果进行元分析.
- 为了比较SILC与传统的多端口腹腔镜切除术 (MPLC).
- 讨论SILS在结直肠外科手术中的未来前景.
主要方法:
- 随机对照试验和比较研究的系统审查和元分析.
- 搜索了PubMed和Cochrane中央注册表 (2023年9月至10月).
- 包括比较SILC和MPLC每臂≥50名患者的研究,重点关注并发症率,外科及瘤结局.
主要成果:
- 在SILC和MPLC之间,在术后并发症率,手术因素或瘤结果方面没有显著差异.
- 在SILC中,皮肤切口的总长度显著更短.
- 观察到的异质性主要在于操作因素.
结论:
- 当由经验丰富的外科医生进行时,SILC对于结直肠癌是技术上可行的,安全的,并且在瘤学上是合理的.
- SILS的采用已经停滞不前,趋势表明可能会向机器人手术等新技术转移.
- 可能需要进一步的研究,以了解微创性结直肠手术的不断变化的景观.
更多相关视频
03:32Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment
Published on: December 27, 2024
679
12:45Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
Published on: February 12, 2022
5.6K
相关概念视频
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
78
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
78
Inflammatory Bowel Disease V: Surgical Management
145
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
145
Endoscopic Procedures II: Colonoscopy
90
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
90
