PDF(Pubmed)
Abstract：
In this paper, different studies were integrated to conclude the impact of ulcerative colitis (UC) on the patient\'s vital prognosis, specifically highlighting the association with colorectal cancer (CRC). These severe complications have led us to consider studying the role of preventive surgery in managing UC. This study reviewed total preventive colectomy in UC patients for preventing the onset of CRC, the role of surgery in UC management, and its potential as a definitive treatment for the condition. The study also emphasized the effectiveness of annual colonoscopic monitoring and preventive colectomy in reducing the incidence of colorectal cancer (CRC). It discussed the role of laparoscopic surgery in minimizing postoperative complications and highlighted that partial surgical resection of the colon can be a viable option, offering improved bowel function without increasing the risk of CRC-related mortality. Elective surgery has an important place in UC management by preventing the development of forms requiring emergency surgery. Although surgery can cure UC, it can lead to significant postoperative complications and adverse effects.
摘要：
在本文中,不同的研究被整合，以总结溃疡性结肠炎（UC）对患者的重要预后的影响，特别强调与结直肠癌（CRC）的相关性。这些严重的并发症使我们考虑研究预防性手术在治疗UC中的作用。这项研究回顾了在UC患者中预防CRC发作的全预防性结肠切除术。手术在UC管理中的作用，以及它作为这种疾病的最终治疗方法的潜力。该研究还强调了年度结肠镜监测和预防性结肠切除术在降低结直肠癌（CRC）发病率方面的有效性。讨论了腹腔镜手术在减少术后并发症中的作用，并强调部分手术切除结肠是可行的选择，在不增加CRC相关死亡风险的情况下改善肠功能。通过防止需要紧急手术的形式的发展，选择性手术在UC管理中具有重要地位。虽然手术可以治愈UC,它可能导致严重的术后并发症和不良反应。
