结直肠微创外科术式、设备与理念的研究进展  

Progress in colorectal minimally invasive surgical procedures,equipments and strategies

作　　者：戴拯 代佳豪 余向南 王征[1,2,4] 王国斌[1,4] Dai Zheng;Dai Jiahao;Yu Xiangnan;Wang Zheng;Wang Guobin(Department of Gastrointestinal Surgery,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China;Research Center for Tissue Engineering and Regenerative Medicine,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China;Department of Gastrointestinal Surgery,The First Afiliated Hospital of Nanchang University,Nanchang 330006,China;Minimally Invasive Surgery Center of Hubei,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院胃肠外科,武汉430022 [2]华中科技大学同济医学院附属协和医院组织工程与再生医学研究中心,武汉430022 [3]南昌大学第一附属医院普外科,330006 [4]华中科技大学同济医学院附属协和医院,湖北省微创外科医学临床研究中心,武汉430022

出　　处：《中华结直肠疾病电子杂志》2023年第2期158-162,共5页Chinese Journal of Colorectal Diseases(Electronic Edition)

基　　金：湖北省技术创新专项(重大项目)(2018ACA136)。

摘　　要：近十年来,我国结直肠外科秉承微创理念,积极开展经自然腔道取标本手术(NOSES)、经肛全直肠系膜切除术(taTME)等新兴术式。同时,立足于手术,引进研发更加精准微创的设备,如3D、4K腹腔镜,单孔手术机器人。此外,为改善患者预后,又积极探索加速康复外科(ERAS)、全程新辅助治疗(TNT)等新理念。新的理念孕育新的术式,新的术式又催生出新的设备,在三者的碰撞交流中,我国结直肠微创外科正不断突破极限。本文将从近十年涌现出的新术式、新设备和新理念三个方面综述结直肠微创外科治疗的进展。In the past decade,colorectal surgery in China has actively carried out new surgical procedures under the guidance of minimally invasive surgery,such as natural orifice specimen extraction surgery and transanal total mesorectal excision.Meanwhile,many accurate and minimally invasive equipments have been used,including three-dimensional/4K laparoscope and single-port surgical robot.In addition,new strategies containing enhanced recovery after surgery(ERAS)and total neoadjuvant therapy(TNT)have been actively explored to improve the prognosis of patients.New ideas breed new surgeries,which further promote new equipments.Colorectal minimally invasive surgery is constantly breaking through the limit in the collision and communication.The article reviews the new development of minimally invasive surgical operations,equipment and strategies in the past decade.

关 键 词：结直肠肿瘤 最小侵入性外科手术 经肛全直肠系膜切除术 手术机器人 全程新辅助治疗 

分 类 号：R656[医药卫生—外科学]