结肠镜辅助腹腔镜切除结肠瘤:一个系统的审查
Laura van Marle1, Julia Hanevelt2, Wouter H de Vos Tot Nederveen Cappel2
1Department of Surgery, Isala, Zwolle, The Netherlands.
Scandinavian journal of gastroenterology
|May 9, 2024
概括
结肠镜辅助腹腔镜切除 (CAL-WR) 显示出有望去除困难的结肠病变. 然而,目前的证据有限,需要进一步的高质量研究来确认其有效性并建立标准化的结果.
科学领域:
- 胃肠道学和外科瘤学
- 最少侵入性的外科技术.
背景情况:
- 结合内镜 - 腹腔镜手术 (CELS) 涵盖了各种程序.
- 结肠镜辅助腹腔镜切除 (CAL-WR) 是一种特定的CELS技术.
- CAL-WR被认为是不适合纯粹内镜去除的结肠病变.
研究的目的:
- 系统地审查关于CAL-WR结果的文献.
- 评估CAL-WR对特定结肠病变的可行性和有效性.
主要方法:
- 在PubMed,Embase和Cochrane数据库中的系统文献搜索.
- 纳入标准:对结肠病变的CAL-WR的研究,全文可用,英语,非系统性审查,至少10名患者.
- 使用纽卡斯尔-太华尺度评估研究质量.
主要成果:
- 涉及326名患者的9项研究符合纳入标准.
- 技术成功率在93-100%之间,R0切除率在91-100%.
- 发病率在6%至20%之间;研究质量低至中等.
结论:
- 不够高质量的数据和结果的变化使得无法就CAL-WR的价值做出坚定的结论.
- CAL-WR是一种有前途的技术,用于内镜无法切除的结肠瘤.
- 需要进一步进行精心设计,前性,多中心研究,并提供标准化结果.
更多相关视频
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
04:22Application of Laparoscopic Hepatectomy Combined with Intraoperative Microwave Ablation in Colorectal Cancer Liver Metastasis
Published on: March 3, 2023
414
相关概念视频
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
77
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...
77
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
89
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:
89
