UC手术治疗PPT课件.pptx

腹腔镜微创技术助力UC手术治疗;Ulcerative colitis,UC;surgery;Restorative proctolectomyIPAA VS IRA (ilealpouch-anal anastomosis) (total colectomy with ileorectal anastomosis );?laparoscopic VS open;;腹腔镜微创IPAA手术就其操作设备而言包括传统腹腔镜、机器人腔镜方式[1]；就其辅助切口而言包括多孔、单孔及自然腔道[2-5]。 微创手术较传统开放手术具有显著的微创优势[6, 7]，有助于提升患者的手术耐受[8]，一定程度上可能会对UC手术的适应症产生影响。 [1] Mark-Christensen A, Pachler F R, Norager C B, et al. Short-term Outcome of Robot-assisted and Open IPAA: An Observational Single-center Study[J]. Dis Colon Rectum. 2016, 59(3): 201-207. [2] Rencuzogullari A, Stocchi L, Costedio M, et al. Characteristics of learning curve in minimally invasive ileal pouch-anal anastomosis in a single institution[J]. Surg Endosc. 2017, 31(3): 1083-1092. [3] Leo C A, Samaranayake S, Perry-Woodford Z L, et al. Initial experience of restorative proctocolectomy for ulcerative colitis by transanal total mesorectal rectal excision and single-incision abdominal laparoscopic surgery[J]. Colorectal Dis. 2016, 18(12): 1162-1166. [4] Baek S J, Dozois E J, Mathis K L, et al. Safety, feasibility, and short-term outcomes in 588 patients undergoing minimally invasive ileal pouch-anal anastomosis: a single-institution experience[J]. Tech Coloproctol. 2016, 20(6): 369-374. [5] de Buck V O A, Wolthuis A M, DHoore A. Transanal completion proctectomy after total colectomy and ileal pouch-anal anastomosis for ulcerative colitis: a modified single stapled technique[J]. Colorectal Dis. 2016, 18(4): O141-O144. [6] Jani K, Shah A. Laparoscopic total proctocolectomy with ileal pouch-anal anastomosis for ulcerative colitis[J]. J Minim Access Surg. 2015, 11(3): 177-183. [7] Colombo F, Sahami S, de Buck V O A, et al. Restorative Proctocolectomy in Elderly IBD Patients: A Multicentre Comparative Study on Safety and Efficacy[J]. J Crohns Colitis. 2016. [8] Okita Y, Araki T, Hiro J, et al. Systemic Acute-phase Response in Laparoscopic and Open Ileal Pouch Anal Anastomosis in Patients With Ulcerative Colitis: A Case-matched Comparative