Tang Shaotao,Chang Xiaopan.Retrospect and prospect of the technological evolution of minimally invasive surgery for Hirschsprung’s disease[J].Journal of Clinical Pediatric Surgery,2020,19(01):1-6.[doi:10.3969/j.issn.1671-6353.2020.01.001]
对微创外科在先天性巨结肠症应用现状及未来趋势的思考
- Title:
- Retrospect and prospect of the technological evolution of minimally invasive surgery for Hirschsprung’s disease
- 关键词:
- Hirschsprung病; 外科手术; 微创性; 治疗应用
- 分类号:
- R726;R574
- 摘要:
- 先天性巨结肠症发病率位于小儿消化道畸形第二位。随着微创外科技术不断发展，患者对疾病的治疗预期也从基本的排便和肛门外观要求提高到对远期排便功能和生活质量的要求。针对目前临床上广泛应用的腹腔镜手术和经肛门手术，本文就技术与功能之间的关系进行了总结和分析，重点分析了最小创伤与最大限度保留远期排便功能的关键问题。作者结合da Vinci机器人在先天性巨结肠症手术治疗中的解剖层面和操作技术优势，展望了未来先天性巨结肠症微创治疗的发展方向。
- Abstract:
- The incidence of Hirschsprung’s disease (HD) occupies the second position in children’s digestive tract malformation.With the development of minimally invasive surgical techniques,patients’ expectations and surgeons’ surgical strategies have changed from the basic principles for defecation and anal appearance to the requirements for ideal long-term function and quality of life.For the most commonly performed laparoscopic surgery and transanal surgery,the relationship between techniques and function was summarized in this paper,especially focused on how to minimize the trauma and maximally restore the long-term defecation function.The author forecasted the future of the da Vinci robotic surgery,combining with the advantages of the robotic system in establishing anatomical planes and operating flexibly in treating patients with HD.
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备注/Memo
收稿日期:2019-01-02。
基金项目:卫计委公益性行业科研专项基金（编号：201402007）
作者简介:汤绍涛,Email:tshaotao83@126.com