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中华结直肠疾病电子杂志 ›› 2025, Vol. 14 ›› Issue (01) : 29 -39. doi: 10.3877/cma.j.issn.2095-3224.2025.01.003

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结直肠外科的发展历程解析
石一航1, 王锡山1,()   
  1. 1. 100021 北京,国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院结直肠外科
  • 收稿日期:2024-12-30 出版日期:2025-02-25
  • 通信作者: 王锡山

Analysis of the development history of colorectal surgery

Yihang Shi1, Xishan Wang1,()   

  1. 1. 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
  • Received:2024-12-30 Published:2025-02-25
  • Corresponding author: Xishan Wang
引用本文:

石一航, 王锡山. 结直肠外科的发展历程解析[J/OL]. 中华结直肠疾病电子杂志, 2025, 14(01): 29-39.

Yihang Shi, Xishan Wang. Analysis of the development history of colorectal surgery[J/OL]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2025, 14(01): 29-39.

结直肠外科在近两百年的时间里经历了飞跃式的发展,这一过程可总体分为四个阶段。从减状手术阶段、根治手术阶段、扩大根治手术阶段到如今的功能外科阶段,外科手术的方式和治疗理念也发生了巨大的转变。在此过程中,麻醉、无菌、输血三大里程碑式的突破让外科学发展进入了快车道。医学的快速发展依赖其他学科的发展,如光学、电学、工程学、药学、美学等,多学科的进步在医学中得到体现。时至今日,在结直肠外科的发展历程中,存在诸多核心的治疗理念和原则。本文通过回顾结直肠外科发展至今的“四阶段”,提炼“三理念”,总结“两原则”,强调“两安全”,凝练“两感悟”,提出“一核心”,分享“N 技巧”,以期回首过往,总结经验,展望未来。

Colorectal surgery has experienced a leap-forward development in the past two hundred years, and this process can be generally divided into four stages.From the stage of reductive surgery, radical surgery, extended radical surgery to the current stage of functional surgery, the surgical methods and treatment concepts have also undergone tremendous changes.In this process, the three milestone breakthroughs of anesthesia, asepsis, and blood transfusion have put the development of surgery on the fast track.The rapid development of medicine depends on the development of other disciplines, such as optics, electricity,engineering, pharmacy, aesthetics, etc., and the progress of multiple disciplines is reflected in medicine.To this day, in the development of colorectal surgery, there are many core treatment concepts and principles.This article reviews the “four stages” of the development of colorectal surgery to date, refines the “three concepts”,summarizes the “two principles”, emphasizes the “two safety”, condenses the “two perceptions”, proposes the“one core”, and shares the “N skills”, to look back on the past, summarize experience, and look forward to the future.

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