拥抱对结直肠癌切除的最小侵入性方法
Nan Zun Teo1,2,3, James Weiquan Li2,3,4,5, James Chi Yung Ngu1,2,3
1Department of Surgery, Changi General Hospital, Singapore.
Singapore medical journal
|October 15, 2025
概括
结肠直肠癌 (CRC) 查和早期检测可以改善结局. 微创手术,包括腹腔镜和机器人辅助切除术,为CRC患者提供了有效的治疗,降低了发病率和更快的恢复.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 医疗技术 医疗技术 医学技术
背景情况:
- 结肠直肠癌 (CRC) 具有重大临床负担,需要有效的查和早期检测策略.
- 晚期表现,包括急性大肠阻塞,仍然是CRC管理的挑战.
- 像图像增强内镜和人工智能这样的新型诊断工具显示出改善结肠腺瘤和早期CRC检测的希望.
研究的目的:
- 审查目前用于结直肠癌检测和治疗的策略.
- 突出结直肠癌切除的最小侵入性手术技术的进步.
- 强调采用最少入侵方法的好处,以改善患者的治疗结果.
主要方法:
- 关于结直肠癌查,诊断和治疗方式的当前文献的综述.
- 评估内镜技术,包括图像增强内镜和人工智能应用.
- 对外科手术的评估,重点是内镜切除,结肠支架,腹腔镜切除术和机器人辅助结肠直肠手术.
主要成果:
- 内镜切除是早期病变 (腺瘤,T0-T1 CRC) 的首选治疗方法.
- 紧急结肠支架可以作为一个可行的桥梁,用于阻塞性病变的间隔治疗手术.
- 最少侵入性切除技术 (腹腔镜,机器人辅助) 是有效的,可以减少发病率和恢复时间,同时确保瘤治愈.
结论:
- 应广泛采用治疗性结直肠癌切除的最小侵入性方法.
- 这些技术在减少治疗后发病率和加速患者康复方面具有显著的优势.
- 采用先进的外科手术方法对于改善结直肠癌管理的长期临床结果至关重要.
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