不同入路腹腔镜手术治疗结直肠癌的研究进展  

Research Progress in Laparoscopic Surgery with Different Approaches for Treatment of Colorectal Cancer

作　　者：张大权 何莉 周冬兵[1] 罗彬予 张肖 ZHANG Daquan;HE Li;ZHOU Dongbing;LUO Binyu;ZHANG Xiao(Department of Gastrointestinal Surgery,Nanchong Central Hospital/the Second Affiliated Medical College of North Sichuan Medical College,Nanchong 637000,China)

机构地区：[1]川北医学院第二临床医学院南充市中心医院胃肠外科,四川南充637000

出　　处：《医学综述》2023年第21期4554-4558,共5页Medical Recapitulate

摘　　要：结直肠癌是我国常见的消化系统恶性肿瘤,而腹腔镜手术作为治疗早期结直肠癌的重要方式,技术逐渐发展成熟,并广泛应用于临床。根据结直肠癌的解剖位置、病变特征等,选取合适的腹腔镜手术入路,对手术效果、术后并发症及疾病转归均具有重要意义。目前中间入路、外侧入路、尾侧入路等已广泛用于结直肠癌腹腔镜手术中,但结直肠癌腹腔镜手术入路多样,入路标准尚未统一,且不同的入路各具优势与局限,未来应结合多方面因素灵活选择,以获得理想的治疗效果。Colorectal cancer is a common malignant tumor of digestive system in China.Laparoscopic surgery is an important way to treat early colorectal cancer.It has gradually developed and matured its technology,and is widely used in the clinical practice.Choosing an appropriate laparoscopic surgical approach based on the anatomical location and lesion characteristics of colorectal cancer is of great significance for surgical effectiveness,postoperative complications,and disease prognosis.At present,intermediate,lateral,and caudal approaches have been widely used in laparoscopic surgery for colorectal cancer.However,with the existing various approaches for laparoscopic surgery for colorectal cancer,no unified standard has been formed,and each approach has its own advantages and limitations.In the future,flexible choices should be made based on multiple factors to achieve ideal therapeutic results.

关 键 词：结直肠癌 腹腔镜 手术入路 

分 类 号：R735.35[医药卫生—肿瘤]