Role of minimally invasive techniques in gastrointestinal surgery:Current status and future perspectives  

作　　者：Shan-Ping Ye Wei-Quan Zhu Zhi-Xiang Huang Dong-Ning Liu Xiang-Qiong Wen Tai-Yuan Li 

机构地区：[1]Department of General Surgery,The First Affiliated Hospital of Nanchang University,Nanchang 330006,Jiangxi Province,China [2]Institute of Digestive Surgery,The First Affiliated Hospital of Nanchang University,Nanchang 330006,Jiangxi Province,China [3]Jiangxi Medical College of Nanchang University,Nanchang 330006,Jiangxi Province,China

出　　处：《World Journal of Gastrointestinal Surgery》2021年第9期941-952,共12页世界胃肠外科杂志（英文版）（电子版）

摘　　要：In recent years,the incidence of gastrointestinal cancer has remained high.Currently,surgical resection is still the most effective method for treating gastrointestinal cancer.Traditionally,radical surgery depends on open surgery.However,traditional open surgery inflicts great trauma and is associated with a slow recovery.Minimally invasive surgery,which aims to reduce postoperative complications and accelerate postoperative recovery,has been rapidly developed in the last two decades;it is increasingly used in the field of gastrointestinal surgery and widely used in early-stage gastrointestinal cancer.Nevertheless,many operations for gastrointestinal cancer treatment are still performed by open surgery.One reason for this may be the challenges of minimally invasive technology,especially when operating in narrow spaces,such as within the pelvis or near the upper edge of the pancreas.Moreover,some of the current literature has questioned oncologic outcomes after minimally invasive surgery for gastrointestinal cancer.Overall,the current evidence suggests that minimally invasive techniques are safe and feasible in gastrointestinal cancer surgery,but most of the studies published in this field are retrospective studies and casematched studies.Large-scale randomized prospective studies are needed to further support the application of minimally invasive surgery.In this review,we summarize several common minimally invasive methods used to treat gastrointestinal cancer and discuss the advances in the minimally invasive treatment of gastrointestinal cancer in detail.

关 键 词：Gastrointestinal neoplasms LAPAROSCOPY Minimally invasive surgical procedures Robotic surgical procedures THERAPEUTICS 

分 类 号：R656.6[医药卫生—外科学]