Choice of the mode of laparoscopic right hemicolectomy / 中华胃肠外科杂志
Chinese Journal of Gastrointestinal Surgery
;
(12): 504-506, 2017.
Artigo
em Chinês
| WPRIM
| ID: wpr-317598
ABSTRACT
Laparoscopy has become the standard surgery mode of right hemicolectomy, including conventional laparoscopy, hand-assisted laparoscopic surgery (HALS), single-port laparoscopic surgery (SPLS), natural orifices translumenal endoscopic surgery (NOTES) and robotic laparoscopy. How to select reasonable laparoscopic mode could be confusing sometimes. For patients, safety, cost-effectiveness and radical cure of the surgery are very important. For doctors, advance and convenience of the surgery must be considered as well. How do we choose a win-win operation method Conventional laparoscopic surgery is the basis of all the minimally invasive surgeries, and total mesocolon resection with D3 lymphadenectomy is an important technical foundation of right hemicolectomy. HALS has some advantages in patients with obesity, abdominal surgery history, intestinal adhesion or intestinal obstruction. SPLS and NOTES have minimized abdominal trauma leading to faster recovery, but have certain technical difficulties, especially NOTES. Although robotic laparoscopic surgery is advanced, but its high cost limits its popularization. Surgeons should integrate their technical levels, hospital equipment, and conditions of patients, then choose reasonable operation mode of right hemicolectomy.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Cirurgia Geral
/
Aderências Teciduais
/
Laparoscopia
/
Colectomia
/
Procedimentos Cirúrgicos Minimamente Invasivos
/
Abdome
/
Laparoscopia Assistida com a Mão
/
Cirurgia Endoscópica por Orifício Natural
/
Procedimentos Cirúrgicos Robóticos
/
Tomada de Decisão Clínica
Tipo de estudo:
Estudo prognóstico
Limite:
Humanos
Idioma:
Chinês
Revista:
Chinese Journal of Gastrointestinal Surgery
Ano de publicação:
2017
Tipo de documento:
Artigo
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