Quality control and clinical management of intracorporeal anastomosis technique in totally laparoscopic colorectal surgery
Wang Zhexue,
Bai Junge,
Jiang Dedi,
Cao Yu,
Yang Ming,
Jia Yufei,
Liu Zheng
Affiliations
Wang Zhexue
Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
Bai Junge
Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
Jiang Dedi
Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
Cao Yu
Department of Surgery, 2nd Faculty of I.M. Sechenov First Moscow State Medical University, Moscow 101135, Russia
Yang Ming
Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
Jia Yufei
Department of Colorectal Surgery, Yuncheng Central Hospital, Yuncheng 044000, Shanxi, China
Liu Zheng
Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
With the development of minimally invasive surgical techniques, the widespread adoption of laparoscopic colorectal surgery has improved surgical safety and speed of postoperative recovery in patients. As a core component of minimally invasive surgical techniques, intracorporeal anastomosis technique faces challenges in quality control. This article discusses the technical advantages, indications, contraindications, perioperative preparation, establishment of standardized surgical procedures, application of high-quality instruments, intraoperative monitoring, and postoperative assessment of intracorporeal anastomosis technique in totally laparoscopic colorectal surgery. It points out that the establishment of a technical training system plays an important role in improving surgical success rates and reducing complication rates of intracorporeal anastomosis technique, and briefly explores the current issues, challenges and future directions of development of this technique.
