Current Status of Minimally Invasive Surgery for Rectal Cancer

被引:7
作者
Fleshman, James [1 ,2 ]
机构
[1] Baylor Univ, Med Ctr, Dept Surg, Dallas, TX 75246 USA
[2] Texas A&M Univ, College Stn, TX USA
关键词
Laparoscopy; Robotics; Rectal cancer; Total mesorectal excision; TOTAL MESORECTAL EXCISION; LAPAROSCOPIC COLORECTAL SURGERY; LOW ANTERIOR RESECTION; LEARNING-CURVE; ABDOMINOPERINEAL RESECTION; ASSISTED RESECTION; RANDOMIZED-TRIAL; INTERSPHINCTERIC RESECTION; PATHOLOGICAL OUTCOMES; COLOANAL ANASTOMOSIS;
D O I
10.1007/s11605-016-3085-3
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Recent randomized controlled data have shown possible limitations to laparoscopic treatment of rectal cancer. The retrospective data, used as the basis for designing the trials, and which showed no problems with the technique, are discussed. The design of the randomized trials is discussed relative to the future meta-analysis of the recent data. The implications of the current findings on practice are discussed as surgeons try to adjust their practice to the new findings. The possible next steps for clinical and research innovations are put into perspective as new technology is considered to compensate for newly identified limitations in the laparoscopic treatment of rectal cancer.
引用
收藏
页码:1056 / 1064
页数:9
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