炎症性肠病的微创外科治疗

Minimally invasive surgery for inflammatory bowel disease

  • 摘要: 炎症性肠病患者腹腔病变情况复杂,加之机体严重营养不良,手术风险大大提高。因此,腹腔镜微创外科技术在炎症性肠病治疗中的作用日益凸显。其具有术后恢复快、住院时间短和术后并发症发生率较低等优势。部分新技术,如单孔腹腔镜手术、经自然腔道内镜手术和机器人辅助腹腔镜手术等,在炎症性肠病治疗中的应用国外已有报道,但在我国发展仍较缓慢,因此,开展相关的实践非常必要。对施行微创手术的炎症性肠病患者的选择仍需谨慎。

     

    Abstract: Inflammatory bowel disease (IBD) could lead to the complexity of intraabdominal pathology and patients′ malnutrition, which might greatly increase the risk of operation. Laparoscopic minimally invasive surgery is playing an important role in the treatment of IBD, with the advantages of faster postoperative recovery, shorter duration of hospital stay and lower incidence of postoperative complications. And some new techniques for IBD have been reported in the western countries, such as singleincision laparoscopic surgery, natural orifice transluminal endoscopic surgery, robot assisted laparoscopic surgery and so on. However, the new techniques are not widely used in  China, and it is necessary to carry out a series of clinical practices, which should be carefully selected for IBD patients undergoing minimally invasive surgery.

     

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