基础医学与临床 ›› 2024, Vol. 44 ›› Issue (12): 1727-1730.doi: 10.16352/j.issn.1001-6325.2024.12.1727

• 短篇综述 • 上一篇    下一篇

内镜OTSC系统在结直肠癌术后吻合口漏(瘘)治疗中的研究进展

王乾宇, 吴斌*   

  1. 中国医学科学院 北京协和医学院 北京协和医院 基本外科,北京 100730
  • 收稿日期:2024-01-11 修回日期:2024-05-09 出版日期:2024-12-05 发布日期:2024-11-26
  • 通讯作者: *wubin0279@hotmail.com
  • 基金资助:
    中央高水平医院临床科研业务费资助项目(2022-PUMCH-B-003)

Advances of OTSC in managing anastomotic leak and fistulas after colorectal cancer surgery

WANG Qianyu, WU Bin*   

  1. Department of General Surgery,Peking Union Medical College Hospital,CAMS & PUMC,Beijing 100730,China
  • Received:2024-01-11 Revised:2024-05-09 Online:2024-12-05 Published:2024-11-26
  • Contact: *wubin0279@hotmail.com

摘要: 吻合口漏(AL)作为结直肠癌术后一种并发症,严重影响患者预后,甚至威胁患者生命。目前AL的治疗包括结肠造口转流手术或长期全肠外营养加腹腔引流等保守治疗,但总体治疗效果并不令人满意。近年来,内镜技术已成为治疗吻合口漏(瘘)的又一可行手段,其中一种新型耙状闭合系统(OTSC)以其操作简单、并发症少、技术成功率以及临床成功率高得到临床医生的肯定。

关键词: OTSC系统, 结直肠癌, 吻合口漏(瘘), 治疗

Abstract: Anastomotic leak (AL) is one of the severe complications following colorectal cancer surgery, significantly impacting the patient prognosis and potentially endangering their life. Current treatments for AL involve colostomy diversion surgery or long-term total parenteral nutrition with abdominal drainage, supplemented by other conservative measures. However, the overall effectiveness of these treatments remains unsatisfactory. In recent years, endoscopic techniques have emerged as a promising therapeutic option for the treatment of AL. Among these, a novel rake-shaped closure system, known as the over-the-scope clip (OTSC), has been recognized by clinicians for its simple operation, few complications, high technical success rate and high clinical success rate.

Key words: over-the-scope-clip(OTSC) system, colorectal cancer, anastomotic leak, treatment

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