外科理论与实践 ›› 2023, Vol. 28 ›› Issue (03): 181-185.doi: 10.16139/j.1007-9610.2023.03.001
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收稿日期:
2023-05-17
出版日期:
2023-05-25
发布日期:
2023-08-18
通讯作者:
郑民华,E-mail: 基金资助:
Received:
2023-05-17
Online:
2023-05-25
Published:
2023-08-18
摘要:
自1993年开展国内第一例腹腔镜结肠癌根治手术,我国腹腔镜结肠直肠外科开启了新的历程,至今已迈入第30个年头。回顾30年历程,希望通过腹腔镜结肠直肠手术这一窗口,从起步期一系列关键技术的建立,到培训体系的发展,乃至创新技术和技术平台的进一步发展等,透视中国腹腔镜外科发展的轨迹,并从多个维度进行思考,以期获取经验,指导当下实践,并前瞻未来发展之路。
中图分类号:
郑民华, 马君俊. 中国腹腔镜结肠直肠手术30年:我们学到了什么[J]. 外科理论与实践, 2023, 28(03): 181-185.
ZHENG Minhua, MA Junjun. Laparoscopic colorectal surgery 30 years in China: what we learned[J]. Journal of Surgery Concepts & Practice, 2023, 28(03): 181-185.
[24] |
VAN DEN BOS J, AL-TAHER M, SCHOLS R M, et al. Near-infrared fluorescence imaging for real-time intra-operative guidance in anastomotic colorectal surgery: a systematic review of literature[J]. J Laparoendosc Adv Surg Tech A, 2018, 28(2):157-167.
doi: 10.1089/lap.2017.0231 URL |
[25] |
BLANCO-COLINO R, ESPIN-BASANY E. Intraoperative use of ICG fluorescence imaging to reduce the risk of anastomotic leakage in colorectal surgery: a systematic review and meta-analysis[J]. Tech Coloproctol, 2018, 22(1):15-23.
doi: 10.1007/s10151-017-1731-8 URL |
[1] | 田文, 李荣, 陈凛, 等. 手助腹腔镜的结直肠癌根治术[J]. 中华外科杂志, 2003, 41(1):70-71. |
TIAN W, LI R, CHEN L, et al. Hand-assited laparoscopic radical resection of colorectal cancer[J]. Chin J Surg, 2003, 41(1):70-71. | |
[2] | 李国新, 丁自海, 张策, 等. 腹腔镜下肠系膜下血管的临床解剖学[J]. 解剖学杂志, 2006, 29(5):624-626. |
LI G X, DING Z H, ZHANG C, et al. Inferior mesenteric vessels related clinical anatomy in laparoscopy[J]. Chin J Anat, 2006, 29(5):624-626. | |
[3] | 谭敏, 丘少鹏. 超声刀在腔镜外科手术中的应用—附448例分析[J]. 新医学, 2003, 34(z1):115-116. |
TAN M, QIU S P. The application of ultrasound knife in endoscopic surgery — analysis of 448 cases[J]. J New Med, 2003, 34(z1):115-116. | |
[4] | 谢德红, 杜燕夫, 李敏哲, 等. 腹腔镜辅助下TME手术[J]. 腹腔镜外科杂志, 2002, 7(4),232-234. |
XIE D H, DU Y F, LI M Z, et al. Laparoscopy assisted total mesorectal excision(TME)[J]. J Laparosc Surg, 2002, 7(4),232-234. | |
[5] | 马君俊, 陆爱国, 宗雅萍, 等. 直肠脱出技术在腹腔镜低位直肠前切除术中的应用[J]. 国际外科学杂志, 2007, 34(11):730-732. |
MA J J, LU A G, ZONG Y P, et al. Prolapsing technique in laparoscopy-assisted low anterior resection[J]. Int J Surg, 2007, 34(11):730-732. | |
[6] | 周总光, 李立, 舒晔, 等. 腹腔镜DST、低位/超低位/结-肛吻合术治疗低位直肠癌[J]. 华西医科大学学报, 2002, 33(1):5-7. |
ZHOU Z G, LI L, SHU Y, et al. DST and low/ultralow/colo-anal anastomoses laparoscopically in the treatment of low rectal cancer[J]. J West China Univ Med Sci, 2002, 33(1):5-7. | |
[7] | 高加勒, 安勇博, 姚宏伟, 等. 国内外经肛全直肠系膜切除术结构化培训的开展历程和新要求[J]. 中华外科杂志, 2021, 59(5):328-331. |
GAO J L, AN Y B, YAO H W, et al. The development process and new requirements of structured training on transanal total mesorectal resection[J]. Chin J Surg, 2021, 59(5):328-331. | |
[8] | 黄胜辉, 池畔, 林惠铭, 等. 腹腔镜与开放经腹括约肌间切除术治疗低位直肠癌的近期疗效比较[J]. 中华胃肠外科杂志, 2016, 19(8):923-927. |
HUANG S H, CHI P, LIN H M, et al. Short-term efficacy comparison of laparoscopic versus open transabdominal intersphincteric resection for low rectal cancer[J]. Chin J Surg, 2016, 19(8):923-927. | |
[9] | 池畔, 陈致奋. 腹腔镜低位直肠癌术中保护盆丛及其血管神经束要点[J]. 中国实用外科杂志, 2014, 34(9):837-841. |
CHI P, CHEN Z F. Short-term efficacy comparison of laparoscopic versus open transabdominal intersphincteric resection for low rectal cancer[J]. Chin J Pract Surg, 2014, 34(9):837-841. | |
[10] | 梁建伟, 刘骞, 周思成, 等. 经血管外侧入路腹腔镜中低位直肠癌侧方淋巴结清扫72例临床分析[J]. 中国实用外科杂志, 2018, 38(10):4. |
LIANG J W, LIU Q, ZHOU S C, et al. Clinical analysis of 72 cases of lateral lymph node dissection for low rectal cancer through lateral vascular approach abdominal endoscopy[J]. Chin J Pract Surg, 2018, 38(10):4. | |
[11] | 郑民华, 马君俊, 臧潞, 等. 头侧中间入路腹腔镜直肠癌根治手术[J]. 中华胃肠外科杂志, 2015, 18(8):835-836. |
ZHENG M H, MA J J, ZANG L, et al. Laparoscopic radical resection of rectal cancer through the cephalic intermediate approach[J]. Chin J Gastrointest Surg, 2015, 18(8):835-836. | |
[12] | 池畔. 腹腔镜右半结肠癌根治手术入路的选择:选择尾侧入路[J]. 中华胃肠外科杂志, 2016, 19(8):875-877. |
CHI P. Selection of laparoscopic radical surgery approach for right colon cancer: choosing the caudal approach[J]. Chin J Gastrointest Surg, 2016, 19(8):875-877. | |
[13] | 马君俊, 洪希周, 臧潞, 等. 头侧中间入路与传统中间入路腹腔镜直肠癌根治术的疗效分析[J]. 中华消化外科杂志, 2016, 15(8):780-784. |
MA J J, HONG X Z, ZANG L, et al. Effect analysis of cephalo-medial to lateral and traditional medial-to-lateral approaches for laparoscopic radical resection of rectal cancer[J]. Chin J Dig Surg, 2016, 15(8):780-784. | |
[14] | 康亮, 黄美近, 汪建平, 等. 完全经肛腔镜下全直肠系膜切除术五例[J]. 中华胃肠外科杂志, 2014, 17(8):825-827. |
KANG L, HUANG M J, WANG J P, et al. Five cases of total mesorectal excision under complete anal endoscope[J]. Chin J Gastrointest Surg, 2014, 17(8):825-827. | |
[15] |
ZHANG H, ZHANG Y S, JIN X W, et al. Transanal single-port laparoscopic total mesorectal excision in the treatment of rectal cancer[J]. Tech Coloproctol, 2013, 17(1):117-123.
doi: 10.1007/s10151-012-0882-x URL |
[16] | 中华医学会外科学分会腹腔镜与内镜外科学组. 腹腔镜结直肠手术手术入路选择专家共识[J]. 中国实用外科杂志, 2017, 37(4):415-419. |
Chinese Society of Laparoscopic and Endoscopic Surgery, Chinese Surgical Society, Chinese Medical Association. Expert consensus on the selection of surgical approaches for laparoscopic colorectal surgery[J]. Chin J Pract Surg, 2017, 37(4):415-419. | |
[17] | 卫洪波, 魏波, 郑宗珩. 保留Denonvilliers筋膜的价值与可行性[J]. 中华胃肠外科杂志, 2015(8):773-776. |
WEI H B, WEI B, ZHENG Z H. The value and feasibility of preserving denonvilliers fascia[J]. Chin J Gastrointest Surg, 2015(8):773-776. | |
[18] | 王自强, 邓祥兵, 孟文建. 切除部分Denonvilliers筋膜以保证更好的环周切缘[J]. 中华胃肠外科杂志, 2015(8):776-778. |
WANG Z Q, DENG X B, MENG W J. Remove a portion of the Denonvilliers fascia to ensure a better circumferential cutting edge[J]. Chin J Gastrointest Surg, 2015(8):776-778. | |
[19] |
HARADA H, KANAJI S, HASEGAWA H, et al. The effect on surgical skills of expert surgeons using 3D/HD and 2D/4K resolution monitors in laparoscopic phantom tasks[J]. Surg Endosc, 2018, 32(10):4228-4234.
doi: 10.1007/s00464-018-6169-1 |
[20] |
ABDELRAHMANA M, BELRAMMANA A, SALEMA R, et al. Acquiring basic and advanced laparoscopic skills in novices using two-dimensional (2D), three-dimensional (3D) and ultra-high definition (4K) vision systems: a randomized control study[J]. Int J Surg, 2018, 53:333-338.
doi: 10.1016/j.ijsu.2018.03.080 URL |
[21] |
WAHBA R, DATTA R R, HEDERGOTT A, et al. 3D vs. 4K Display System - Influence of “State-of-the-art”-Display Technique On Surgical Performance (IDOSP-Study) in minimally invasive surgery: protocol for a randomized cross-over trial[J]. Trials, 2019, 20(1):299.
doi: 10.1186/s13063-019-3330-7 |
[22] | 马君俊, 洪希周, 何子锐, 等. 3D与2D腹腔镜结直肠癌根治术中术者主观感受的随机对照研究[J]. 中华消化外科杂志, 2016, 15(9):892-896. |
MA J J, HONG X Z, HE Z R, et al. Subjective perception of surgeons with three-dimensional and two-dimensional systems in laparoscopic colorectal surgery: a randomized controlled trial[J]. Chin J Dig Surg, 2016, 15(9):892-896. | |
[23] |
AREZZO A, VETTORETTO N, FRANCIS N K, et al. The use of 3D laparoscopic imaging systems in surgery: EAES consensus development conference 2018[J]. Surg Endosc, 2019, 33(10):3251-3274.
doi: 10.1007/s00464-018-06612-x |
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