外科理论与实践 ›› 2024, Vol. 29 ›› Issue (03): 187-191.doi: 10.16139/j.1007-9610.2024.03.01

• 述评 •    下一篇

腹腔镜结肠直肠癌手术的标准化操作、质量控制与疗效评价

姚宏伟, 魏鹏宇,*, 高加勒, 张忠涛()   

  1. 首都医科大学附属北京友谊医院普通外科 国家消化系统疾病临床医学研究中心消化健康全国重点实验室 首都医科大学结直肠肿瘤临床诊疗与研究中心,北京 100050
  • 收稿日期:2024-04-15 出版日期:2024-05-25 发布日期:2024-09-03
  • 通讯作者: 张忠涛,E-mail:zhangzht@ccmu.edu.cn
  • 作者简介:*:共同第一作者
  • 基金资助:
    国家重点研发计划(2017YFC0110904);北京市医院管理局临床医学发展专项基金项目(ZYLX201504);首都医科大学第三批临床诊疗与研究中心(1192070313);北京市医院管理中心扬帆计划临床技术创新项目(ZLRK202302)

Standardized procedure, quality control and efficacy evaluation of laparoscopic surgery for colorectal cancer

YAO Hongwei, WEI Pengyu,*, GAO Jiale, ZHANG Zhongtao()   

  1. Department of General Surgery, Beijing Friendship Hospital, Capital Medical University; National Clinical Research Center for Digestive Diseases; State Key Lab of Digestive Health; Clinical Practice and Research Center for Colorectal Neoplasm, Capital Medical University, Beijing 100050, China
  • Received:2024-04-15 Online:2024-05-25 Published:2024-09-03

摘要:

腹腔镜结肠直肠癌手术的安全性和有效性已得到多项大型临床研究的证实,腹腔镜已成为我国结肠直肠癌外科治疗的主要方式。基于循证医学证据与临床实践积累的经验,腹腔镜结肠直肠癌手术技术仍在持续优化和改进,其关键技术主要围绕以下3方面:①完整的手术切除范围;②合适的淋巴结清扫范围;③安全的消化道重建。重视腹腔镜结肠直肠癌手术的标准化操作,推动手术的规范化开展,形成科学的手术评价体系,做好手术疗效评估,并开展高质量的临床研究,是提高我国腹腔镜结肠直肠癌手术规范化水平的关键。

关键词: 腹腔镜手术, 结肠直肠癌, 手术操作, 标准化, 质量控制

Abstract:

The safety and efficacy of laparoscopic surgery for colorectal cancer has been confirmed by several large-scale clinical studies. Laparoscopy has become the main modality of surgical treatment for colorectal cancer in China. Based on evidence-based medicine and the experience accumulated in clinical practice, laparoscopic colorectal surgical techniques are still being continuously optimised and improved. The key techniques mainly revolve around the following three aspects:①complete surgical excision extension;②appropriate lymph node dissection area;③safe digestive tract reconstruction. Prioritizing the standardization of laparoscopic colorectal cancer surgery, promoting the consistent implementation of these procedures, establishing a scientific evaluation system, thoroughly assessing surgical outcomes, and conducting high-quality clinical research are essential for enhancing the standardization of laparoscopic colorectal cancer surgery in China.

Key words: Laparoscopic surgery, Colorectal cancer, Surgical procedure, Standardization, Quality control

中图分类号: