Management of obstructive colorectal cancer with endoscopic stenting followed by single-stage surgery: open or laparoscopic resection?

F. Stipa; A. Pigazzi; B. Bascone; A. Cimitan; G. Villotti; A. Burza; A. Vitale

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Management of obstructive colorectal cancer with endoscopic stenting followed by single-stage surgery: open or laparoscopic resection?

机译：内镜支架置入术后单期手术治疗阻塞性大肠癌：开放式还是腹腔镜切除？

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About one-third of patients with colorectal carcinoma present with acute colonic obstruction requiring emergency surgery. Current surgical options are intraoperative lavage and resection of the colonic segment involved with primary anastomosis, subtotal colectomy with primary anastomosis, colostomy followed by resection, and resection of the colonic segment involved with end colostomy (Hartmann’s procedure) requiring a second operation to reconstruct the colon. These procedures present risks and a poor quality of life. Endoscopic colonic stent insertion can effectively decompress the obstructed colon, allowing bowel preparation and elective resection.

机译：大肠癌患者中约有三分之一患有急性结肠梗阻，需要紧急手术。当前的外科手术选择是术中灌洗和切除原发性吻合的结肠段，大肠切除术合并原发性吻合，结肠造口术然后切除，以及切除与结肠造瘘术相关的结肠段（Hartmann手术），需要第二次手术来重建结肠。这些程序带来风险和生活质量差。内窥镜结肠支架的插入可以有效地解压阻塞的结肠，从而可以进行肠准备和选择性切除。

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来源
《Surgical Endoscopy》 |2008年第6期|1477-1481|共5页
作者
F. Stipa; A. Pigazzi; B. Bascone; A. Cimitan; G. Villotti; A. Burza; A. Vitale;
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作者单位

Department of Surgery Azienda Ospedaliera San Giovanni Rome Italy;

Department of General Oncologic Surgery City of Hope National Medical Center Duarte CA USA;

Department of Surgery Azienda Ospedaliera San Giovanni Rome Italy;

Department of Surgery Azienda Ospedaliera San Giovanni Rome Italy;

Department of Gastroenterology Azienda Ospedaliera San Giovanni Addolorata Rome Italy;

Department of Surgery Azienda Ospedaliera San Giovanni Rome Italy;

Department of Gastroenterology Azienda Ospedaliera San Giovanni Addolorata Rome Italy;

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原文格式 PDF
正文语种 eng
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关键词
Colorectal cancer; Endoscopic stent; Intestinal obstruction; Laparoscopy;

机译：大肠癌;内窥镜支架;肠梗阻;腹腔镜;

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专利

1. Management of obstructive colorectal cancer with endoscopic stenting followed by single-stage surgery: open or laparoscopic resection? [J] . Stipa F, Pigazzi A, Bascone B, Surgical Endoscopy . 2008,第6期

机译：内镜支架置入术后单期手术治疗阻塞性大肠癌：开放式还是腹腔镜切除？
2. Feasibility of single-stage laparoscopic resection after placement of a self-expandable metallic stent for obstructive left colorectal cancer. [J] . Chung TS, Lim SB, Sohn DK World Journal of Surgery: Official Journal of the Societe Internationale de Chirurgie, Collegium Internationale Chirurgiae Digestivae, and of the International Association of Endocrine Surgeons . 2008,第10期

机译：放置自膨式金属支架治疗阻塞性左大肠癌后单次腹腔镜切除的可行性。
3. Feasibility of Single-Stage Laparoscopic Resection After Placement of a Self-Expandable Metallic Stent for Obstructive Left Colorectal Cancer [J] . Tae-Sung Chung, Seok-Byung Lim, Dae Kyung Sohn, World Journal of Surgery . 2008,第10期

机译：自闭式金属支架置入梗阻性左结直肠癌后单期腹腔镜切除术的可行性
4. Present Status of Endoscopic Surgery in Japan ---- Laparoscopic Surgery and Laparoscopic Assisted Surgery for Gastric Cancer ---- [C] . Yoshiki Hiki, Seigo Kitano Shanghai International Conference on Laser Medicine and Surgery . 2005

机译：日本内窥镜手术的现状----腹腔镜手术和腹腔镜辅助胃癌辅助手术 - -
5. Evaluating surgical outcomes: A systematic comparison of evidence from randomized trials and observational studies in laparoscopic colorectal cancer surgery. [D] . Martel, Guillaume. 2012

机译：评估手术效果：腹腔镜结直肠癌手术的随机试验和观察性研究证据的系统比较。
6. Efficacy of intestinal obstruction stent combined with laparoscopic surgery and neoadjuvant chemotherapy in patients with obstructive colorectal cancer [O] . Leilei Yang, Weiwei Ma, Meizhen Wang, -1

机译：肠梗阻支架联合腹腔镜手术和新辅助化疗对梗阻性大肠癌的疗效
7. Minimally invasive therapy for obstructive colorectal cancers : Two cases of laparoscopic surgery for obstructive colorectal cancers after decompression with Self-Expandable Metallic Stent [O] . Yoshihisa Saida, Toshiyuki Enomoto, Yasushi Nakamura, 2010

机译：对阻塞性结肠直肠癌的微创疗法：自膨胀金属支架减压后阻塞性结直肠癌腹腔镜手术的两种情况

Management of obstructive colorectal cancer with endoscopic stenting followed by single-stage surgery: open or laparoscopic resection?

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