腹腔镜胃肠道肿瘤手术定位方法  

The localization methods of laparoscopic gastrointestinal tumor surgery

作　　者：张珂珲 胡仁豪 张顺 宋纯 蒋小华[1,2] ZHANG Kehui;HU Renhao;ZHANG Shun;SONG Chun;JIANG Xiaohua(Department of Gastrointestinal Surgery,Shanghai East Hospital(South Campus),Shanghai 200123,P.R.China;Tongji University School of Medicine,Shanghai 200331,P.R.China)

机构地区：[1]同济大学附属东方医院(南院)胃肠外科,上海200123 [2]同济大学医学院,上海200331

出　　处：《中国普外基础与临床杂志》2024年第2期229-235,共7页Chinese Journal of Bases and Clinics In General Surgery

基　　金：浦东新区卫生健康委员会领先人才培养计划(项目编号:PWR12021-04)。

摘　　要：目的总结目前临床常见的腹腔镜胃肠道肿瘤手术定位方法,为临床医师选择合理的定位方法提供参考。方法检索近年来国内外腹腔镜胃肠道肿瘤手术定位方法相关报道,进行归纳总结。结果腹腔镜胃肠道肿瘤手术常见定位方法有影像学定位、术前内镜定位、术中内镜定位、术中荧光定位等方法,其中腹部增强CT和内镜相关的定位方法是目前临床最常用的定位方法。结论目前已有多种方法供外科医生选择,通过多种方法结合互补,更有利于肿瘤的精准定位。Objective To summarize the current common clinical laparoscopic gastrointestinal tumor surgical localization methods,and to provide reference for clinicians to choose reasonable localization methods.Method The domestic and foreign literatures related to laparoscopic gastrointestinal tumor surgical localization methods were searched and reviewed.Results The common localization methods for laparoscopic gastrointestinal tumor surgery were imaging localization,preoperative endoscopic localization,intraoperative endoscopic localization and intraoperative fluorescence localization,among which abdominal enhanced CT and endoscopic-related localization methods were the most commonly used localization methods in clinical practice at present.Conclusion A variety of methods are available for surgeons to choose from,and the precise localization of tumors is better facilitated by combining multiple methods.

关 键 词：腹腔镜手术 胃癌 结直肠癌 术前定位 内镜定位 

分 类 号：R735[医药卫生—肿瘤]