• 摘要: 腹腔镜技术目前已是结直肠癌根治手术治疗的重要手段。近年,随着我国腹腔镜结直肠癌根治手术的进一步发展与普及,手术技术及理念已发生较大变化和更新,全世界范围内不断有高质量临床研究开展和循证医学证据发布。腹腔镜结直肠癌根治手术在手术指征、腔镜显示系统、手术入路、全腔镜手术及腹腔镜下关键解剖标志和操作要点等方面均有较多进展。基于《腹腔镜结直肠癌手术操作指南(2018版)》,结合近年研究热点及高等级循证医学成果,以临床证据为基础,临床问题为导向,中华医学会外科学分会腹腔镜与内镜外科学组、中华医学会外科学分会结直肠外科学组、中国医师协会外科医师分会结直肠外科专家工作组、中国抗癌协会腔镜与机器人外科分会、中国医学装备协会腔镜与微创技术分会组织国内相关领域专家再次修订更新形成《腹腔镜结直肠癌根治术操作指南(2023版)》。

     

    Abstract: Laparoscopic technology is currently an important mean of radical surgery for colorectal cancer. In recent years, with the further development and popularization of laparoscopic surgery for colorectal cancer in China, the surgical techniques and concepts have undergone signifi-cant changes and updates. High quality clinical research and evidence‑based medicine have been continuously conducted worldwide. Laparoscopic radical surgery for colorectal cancer has made significant progress in surgical indications, laparoscopic display system, surgical approach, totally laparoscopic surgery, and key anatomical landmarks and operational points. Based on the Guideline for Operative Procedure of Laparoscopic Radical Resection of Colorectal Cancer (2018 Edition), and combined with recent research hotspots and high‑level evidence‑based medicine achievements, the Laparoscopic & Endoscopic Surgery Group, Branch of Surgery, Chinese Medical Association, Colorectal Surgery Group, Branch of Surgery, Chinese Medical Association, Chinese Society of Colon and Rectal Surgeons, Chinese Medical Doctor Association, Endoscopic and Robotic Surgical Society, China Anti-Cancer Association and Endoscopy and Minimally Invasive Technology Society, China Association of Medical Equipment organize domestic experts in relevant fields to revise and update again to form the Guideline for Operative Procedure of Laparoscopic Radical surgery of Colorectal Cancer (2023 Edition) based on clinical evidence and guided by clinical issues.

     

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