肠道支架置入联合腹腔镜手术治疗梗阻性结直肠癌的研究进展

ISSN:2705-098X(P)

EISSN:2705-0505(O)

语言:中文

作者
王 凯,王佳茜,周国庆
文章摘要
近年来,我国结直肠癌的发病率正逐年升高,其中7%-29%的患者首发症状表现为癌性肠梗阻,而其中75%的结肠梗阻发生在降结肠、乙状结肠或直肠。对于结直肠癌梗阻,传统的治疗手段是急诊手术治疗,但是这不仅增加了手术的风险和成本,而且对患者的预后也有很大的负面影响。随着自彭式金属支架的问世,肠道支架置入联合腹腔镜手术治疗应用在梗阻性结直肠癌的治疗当中,并取得了显著疗效。这不仅能有效提高肿瘤切除率,更能够避免患者永久性造口,提高生活质量。
文章关键词
肠道支架;腹腔镜手术;梗阻性结直肠癌
参考文献
[1] Siegel,RL,Miller,KD,Wagle,NS,et al.Cancer statistics,2023.CA-CANCER J CLIN.2023;73(1):17-48. [2] Yao LQ,Zhong YS,Xu MD,Xu JM,Zhou PH,Cai XL.Self-expanding metallic stents drainage for acute proximal colon obstruction.World JGastroenterol 2011;17:3342-3346. [3] Zheng,C,Wu,YL,Li,Q.Preoperative intestinal stent decompression with primary laparoscopic surgery to treat left-sided colorectal cancer with obstruction:a report of 21 cases.CANCER BIOL MED.2013;10(2):99-102. [4] Morino M,Bertello A,Garbarini A,Rozzio G,Repici A.Malignant colonic obstruction managed by endoscopic stent decompression followed by laparoscopic resections.Surg Endosc.2002;16:1483–1487. [5] Zhang Y,Shi J,Shi B,Song CY,Xie WF,Chen YX.Self-expanding metallic stent as a bridge to surgery versus emergency surgery for obstructive colorectal cancer:a meta-analysis.Surg Endosc.2012;26:110–119. [6] Zhou,JM,Yao,LQ,Xu,JM,et al.Self-expandable metallic stent placement plus laparoscopy for acute malignant colorectal obstruction.WORLD J GASTROENTERO.2013;19(33):5513-9. [7] 中国结直肠癌诊疗规范(2023版)[J].消化肿瘤杂志(电子版),2023,15(03):177-206. [8] 封益飞,唐俊伟,王勇,等.肠道支架置入联合择期手术与急诊手术在梗阻性结直肠癌治疗中的对比研究[J].腹腔镜外科杂志, 2021,26(3):218-222. [9] 柯斌,林潇哲,陈文胜.支架置入后不同时期行腹腔镜手术治疗老年梗阻性结直肠癌临床疗效对比.〔J〕.中国老年学杂志, 2023.16.017. [10] 曾维根,韩加刚,庞国义,等.肠造口后择期手术对比支架置入后择期手术治疗梗阻性左半结肠癌的效果分析[J].中华结直肠疾病电子杂志,2021,10(4):362-366. [11] 张磊.左半结肠癌合并肠梗阻患者肠道支架植入后行限期手术的时间及安全性[J].医疗装备,2021,34(15):93-94. [12] Lee GJ,Kim HJ,Baek JH,Lee WS,Kwon KA.Comparison of short-term outcomes after elective surgery following endoscopic stent insertion and emergency surgery for obstructive colorectal cancer.Int J Surg(London,England).2013;11(6):442–446. [13] Kye BH,Kim JH,Kim HJ,Lee YS,Lee IK,Kang WK,et al.The optimal time interval between the placement of self-expandable metallic stent and elective surgery in patients with obstructive colon cancer.Sci Rep.2020;10(1):9502. [14] Trencheva K,Morrissey KP,Wells M et al(2013)Identifying important predictors for anastomotic leak after colon and rectal resection:prospective study on 616 patients.Ann Surg 257(1):108–113. [15] Murray,AC,Chiuzan,C,Kiran,RP.Risk of anastomotic leak after laparoscopic versus open colectomy.SURG ENDOSC.2016;30(12):5275-5282. [16] Beck DE,Opelka FG,Bailey HR,Rauh SM,Pashos CL(1999)Incidnece of small-bowel obstruction and adhesiolysis after open colorectal and general surgery.Dis Colon Rectum 42:241–248.
Full Text:
DOI