Cooperative laparoscopic or robotic-endoscopic surgery has emerged as a promising approach for the treatment of early-stage colorectal cancers that are difficult to treat with endoscopic techniques alone. Cooperative surgery allows organ and function preservation by complementing the advantages of each modality, providing minimally invasive, precise and personalized treatment options. Laparoscopic-endoscopic cooperative surgery includes laparoscopic-assisted endoscopic resection, combined laparoscopic-endoscopic full-thickness resection, endoscopic-assisted laparoscopic wedge resection, endoscopic-assisted laparoscopic segmental resection, and laparoscopic-endoscopic cooperative surgery with sentinel lymph node dissection. Nearly three decades of clinical research and practice have demonstrated the safety and efficacy of laparoscopic and endoscopic cooperative surgery in the treatment of colorectal tumors. With the progress of the minimally invasive concept, the development of minimally invasive technology and the innovation of minimally invasive equipment, laparoscopy and endoscopy cooperative surgery is expected to have a proper place in the treatment of colorectal tumors.
腹腔镜或机器人联合结肠镜的双镜联合技术可通过优势互补,对内镜下治疗困难的早期结直肠肿瘤,进行微创、精准和个体化的治疗,最大程度地保留器官和功能。双镜联合手术方式包括腹腔镜辅助内镜切除手术、腹腔镜联合内镜全层切除术、内镜辅助腹腔镜楔形切除术、内镜辅助肠段切除术、双镜联合结肠肿瘤局部切除+前哨淋巴结切除。近30年的临床研究和实践表明,双镜联合技术在早期结直肠肿瘤治疗中安全有效。随着微创理念的进步、微创技术发展和微创设备的革新,未来的双镜联合技术必将在早期结直肠肿瘤的诊疗中占据一席之地。.