腹腔镜手术—结直肠癌根治性手术金标准?  

Laparoscopic surgery:the golden standard for colorectal cancer?

作　　者：郑民华[1] 

机构地区：[1]上海交通大学医学院附属瑞金医院普外科、上海市微创外科临床中心,上海200025

出　　处：《中国实用外科杂志》2012年第9期731-733,共3页Chinese Journal of Practical Surgery

摘　　要：一项手术能否成为某一疾病治疗的金标准,往往需要有成熟的技术、充分的循证医学证据、经过规范的推广与普及,并最终受到广泛认可与实施。腹腔镜结直肠癌手术具有创伤小,恢复快等一系列优势,其与传统开放手术的操作技术与淋巴结清扫范围基本相同,且初步的疗效亦相当,随着腹腔镜结直肠癌手术的肿瘤根治效果和远期疗效逐步获得证实,在不久的将来,腹腔镜手术将有望成为根治结直肠癌的金标准手术。但就目前而言,是否成为金标准手术,则取决于地区发展水平、医院等级、术者是否经过规范培训等才能决定。Laparoscopic surgery for colorectal cancer offers several benefits postoperatively, including minimal impairment of gastrointestinal and pulmonary function, less immunosuppression, shorter hospital stay and improved reconvaleseence. Before it becomes a golden standard, several issues should be addressed which includes laparoscopie technique by experienced hands, the high level evidence of long-term outcomes, widespread of the laparoscopic technique and wide adoption by colorectal surgeons. We believe that the laparoscopic surgery would be adopted by more surgeons in the near future and with more RCT trials evidences coming, the laparoscopic surgery should become the golden standard procedure for colorectal cancer.

关 键 词：腹腔镜手术 结直肠癌 金标准 

分 类 号：R6[医药卫生—外科学]