中国实用外科杂志2025，Vol.45Issue(1)：65-68,4.DOI:10.19538/j.cjps.issn1005-2208.2025.01.10
提高腹腔镜结直肠手术安全性的关键技术环节
Key techniques for enhancing the safety of laparoscopic colorectal surgery
摘要
Abstract
After more than three decades of development,laparoscopic colorectal surgery has reached a relatively mature technical stage.Its safety and efficacy have been extensively validated in clinical practice.However,with the widespread adoption of neoadjuvant therapies(such as chemoradiotherapy and targeted immunotherapy)and the application of new technologies like robotic-assisted surgery,3D laparoscopy,reduced-port or single-port surgery,and transanal specimen retrieval,the requirements for surgical operational details have become increasingly stringent,thereby increasing the complexity of procedures.To ensure the safety and effectiveness of laparoscopic colorectal surgery,it is imperative to focus on multiple key technical aspects.This article discusses these critical elements from several perspectives:preoperative assessment and indication selection,oncological radicality of the surgery,operative techniques and key technologies,timing for conversion to open surgery,and postoperative observation and management.The enhancement of safety and quality in laparoscopic colorectal surgery hinges on meticulous preoperative preparation,precise intraoperative execution,and comprehensive postoperative care.The ultimate goal is to provide patients with safer and more effective medical services.By addressing these key areas,surgeons can better navigate the challenges posed by evolving treatment paradigms and technological advancements,ultimately improving patient outcomes.关键词
腹腔镜/结肠癌/直肠癌/手术安全Key words
laparoscopy/colon cancer/rectal cancer/surgical safety分类
医药卫生引用本文复制引用
郑民华,赵轩..提高腹腔镜结直肠手术安全性的关键技术环节[J].中国实用外科杂志,2025,45(1):65-68,4.基金项目
国家自然科学基金面上项目(No.82072614) （No.82072614）
上海创新医疗器械应用示范项目(No.23SHS03000) National Natural Science Foundation of Chi-na(Generai Program,No.82072614) （No.23SHS03000）
Shanghai Innovative Medi-cal Device Application Demonstration Project(No.23SHS03000) （No.23SHS03000）
