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对于右侧结肠癌的微侵袭性完整中结肠切除的学习曲线:系统性审查

Cristián Jarry^1,2, Christophe Riquoir³, Javier Vela¹

¹Colorectal Surgery Unit, Department of Digestive Surgery, Pontificia Universidad Católica de Chile, Diagonal Paraguay 362, 4th Floor, 8330077, Santiago, Chile.

Surgical endoscopy

|August 29, 2025

概括

对于右侧结肠癌,需要21-32例才能熟练进行微侵袭性完整中切除术 (CME). 这种复杂的程序在学习曲线 (LC) 中证明了安全性和有效性.

科学领域:

外科瘤学
胃肠道外科
最少侵入性的手术

背景情况:

在右侧结肠癌的治疗中,完整的中结肠切除 (CME) 具有瘤学上的好处,但在技术上具有挑战性.
了解学习曲线 (LC) 对于安全实施和外科培训至关重要.
本综述评估了微侵袭性CME的LC,重点是手术指标和并发症.

研究的目的:

在右侧结肠癌中,系统地检查微侵袭性完整中切除术的学习曲线 (LC).
确定需要达到熟练程度的案例数量.
评估LC期间的操作指标和并发症率.

主要方法:

按照PRISMA 2020指南进行系统审查.
在六个数据库中搜索使用CUSUM分析来评估微侵袭性CME的LC.
包括超过10例的研究;使用ROBINS-I评估偏差风险.

主要成果:

包括七项研究 (腹腔镜和机器人CME).
在21-32个病例之间达到熟练程度,手术时间减少.
并发症发生率在3. 6-13%之间;淋巴结收获足够.

结论:

对于微侵袭性CME,一个一致的熟练水平是21-32个病例.
在最初的阶段是安全有效的.
方法的多样性凸显了对标准化培训和进一步研究的需要.

关键词:

大肠直肠癌大肠直肠手术完整的中切除学习曲线最少的侵入性手术

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