医学
结直肠癌
解剖(医学)
腹腔镜手术
癌症
淋巴结
粘膜切除术
外科
普通外科
内镜黏膜下剥离术
入射(几何)
腹腔镜检查
评论文章
胃肠道癌
内窥镜检查
结直肠外科
横结肠
治疗
外科切除术
疾病
肿瘤科
结肠切除术
肛癌
内科学
侵入性外科
前瞻性队列研究
作者
Seiichi Shinji,Takeshi Yamada,Akihisa Matsuda,Hiromichi Sonoda,Ryo Ohta,Takuma Iwai,Koki Takeda,Kazuhide Yonaga,Yuka Masuda,Hiroshi Yoshida
出处
期刊:Nippon Ika Daigaku Zasshi
[Medknow]
日期:2022-01-24
卷期号:89 (3): 246-254
被引量:231
标识
DOI:10.1272/jnms.jnms.2022_89-310
摘要
Colorectal cancer (CRC) is the third most common cancer worldwide, and surgical treatment remains the first-line treatment to provide a cure. In addition to the aging population, obesity, low physical activity, and smoking habits increase CRC risk. Despite advances in surgical techniques, chemotherapy, and radiotherapy, colorectal cancer remains the second leading cause of cancer-related deaths worldwide. For early-stage CRC, endoscopic treatment, including endoscopic mucosal resection and endoscopic submucosal dissection, has been performed. However, lymph node dissection is an integral part of surgical treatment for advanced-stage cancer because of the high incidence of lymph node metastasis. Conventional open surgery has evolved into laparoscopic and robotic surgery. Although prospective studies have confirmed the safety and feasibility of laparoscopic surgery for CRC, relevant treatment models of transverse colon cancer and rectal cancer still need to be further explored and validated. Furthermore, multidisciplinary treatment is needed to cure CRC completely. This review aimed to provide an update on recent advances in the surgical treatment of CRC.
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