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对结直肠癌紧急情况进行最小侵入性手术

Neng-Wei Wong¹, Salman Ahmed Abdul Jabbar², James Chi-Yong Ngu²

¹Department of Surgery, Changi General Hospital, Singapore 529889, Singapore. wong_neng_wei@singhealth.com.sg.

World journal of clinical oncology

|September 3, 2025

概括

至少侵入性手术 (MIS) 对结直肠癌 (CRC) 紧急情况有好处,但存在挑战. 内镜干预正在成为CRC患者手术的有价值替代方案或桥梁.

科学领域:

癌症学
手术胃肠病学
紧急医疗

背景情况:

结肠直肠癌 (CRC) 是一个重要的全球健康问题,紧急管理带来了独特的困难.
至少侵入性手术 (MIS) 在选择性CRC病例中显示出优势,包括降低发病率和缩短住院时间.
在紧急CRC设置中,MIS的应用受到患者状况,资源限制和技术技能要求的限制.

研究的目的:

审查当前的指导方针和支持MIS在紧急结肠直肠癌 (CRC) 手术的证据.
确定阻碍紧急CRC实施MIS的挑战.
探索克服这些实施障碍的战略.

主要方法:

对紧急结直肠癌 (CRC) 管理的当代临床指南的评估.
支持在紧急CRC中使用微创手术 (MIS) 的证据的审查.
在紧急情况下限制MIS适用的因素的分析.

主要成果:

有证据表明,MIS可以减少紧急结直肠癌 (CRC) 病例的发病率和住院时间.
患者生理学,资源可用性和外科专业知识是紧急MIS的关键限制.
内镜干预越来越被认为是紧急CRC手术的可行桥梁.

结论:

在紧急结直肠癌 (CRC) 方面,MIS具有潜在的好处,但面临实施障碍.
需要制定战略,在紧急情况下加强MIS的采用.
内镜方法为CRC的紧急MIS提供了一个有前途的替代方案或辅助方案.

关键词:

血流性结直肠癌大肠直肠癌紧急情况大肠直肠恶性瘤腹腔镜检查最少的侵入性手术阻塞性结直肠癌穿孔结直肠癌机器人

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