切除和检索结肠直肠多体:时间为新的见解
Giulia Gibiino1, Cecilia Binda1, Matteo Secco2
1Gastroenterology and Endoscopy Unit, Forlì-Cesena Hospitals, AUSL Romagna, 47121 Forlì, Italy.
Journal of clinical medicine
|August 28, 2025
概括
在结直肠多角切除术后有效的多检索对于预防癌症至关重要. 除了成像技术和人工智能技术的进步,还需要对小息肉 (<10毫米) 进行标准化技术,以提高诊断准确性和患者安全性.
科学领域:
- 胃肠病学
- 内镜手术
- 癌症学
背景情况:
- 结直肠多角切除术后的多检索对于组织病理学和监测至关重要.
- 目前的检索率超过90%,但临床实践有所不同,特别是小于10毫米的息肉.
- 缺少标准化的方法导致了多重体检测的异质性.
研究的目的:
- 审查目前关于结肠直肠多检索技术的证据.
- 检查损伤大小和设备特定因素的影响.
- 评估片管理的替代策略和新兴技术.
主要方法:
- 系统检查聚获取技术 (吸收,网,水基方法).
- 分析"切除并丢弃"和"诊断并留在现场"的策略.
- 对高级成像 (高清内镜,虚拟染色内镜) 和人工智能驱动的CADx进行评估.
主要成果:
- 在临床实践中,片检索存在显著的异质性,特别是在较小的病变中.
- 实施替代策略的障碍包括医疗法律风险和诊断变化.
- 先进的成像和人工智能显示出改善微型息肉的诊断准确性.
结论:
- 需要更新基于证据的框架来检测和监测多菌.
- 必须整合技术进步以确保诊断精度和患者安全.
- 为有效预防结肠直肠癌, 标准化多检索方法至关重要.
更多相关视频
03:01Author Spotlight: A Reproductive Hysteroscopy Approach for Complete Endometrial Polyp Removal and Enhanced Endometrial Receptivity
Published on: August 2, 2024
847
12:45Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
Published on: February 12, 2022
5.8K
相关概念视频
01:21Inflammatory Bowel Disease V: Surgical Management
206
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:
206
01:25Endoscopic Procedures II: Colonoscopy
183
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:
183
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
170
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...
170