Title腹腔镜右半结肠癌CME根治术与策略
Other TitlesLaparoscopic complete mesocolic excision in treating right colon cancer and clinical strategy
Authors苏向前
张成海
Affiliation100142,北京大学肿瘤医院暨北京市肿瘤防治研究所 胃肠肿瘤中心四病区 恶性肿瘤发病机制及转化研究教育部重点实验室
Keywords结肠肿瘤
腹腔镜检查
结肠系膜
Colonic neoplasms
Laparoscopy
Mesocolon
Issue Date2017
Publisher中华普外科手术学杂志(电子版)
Citation中华普外科手术学杂志(电子版). 2017, 11(2), 95-98.
Abstract相对传统右半结肠癌手术,完整全结肠系膜切除(CME)手术可以提供高质量的手术标本和更多的淋巴结清扫数目.因此,腹腔镜右半结肠癌CME根治术既结合了腔镜手术的微创性又兼具CME手术的肿瘤根治性.右半结肠因解剖结构复杂、比邻器官众多、血管变异等因素,手术难度较大.高质量腹腔镜右半结肠癌CME手术的完成需要术者丰富的腹腔镜操作经验与技巧、扎实的解剖学知识和助手的良好配合.腹腔镜右半结肠癌CME手术目前没有标准的手术方式,因此本文拟从右半结肠CME概念、手术适应证、手术步骤、外科操作平面及中央组淋巴结清扫边界等方面介绍腹腔镜右半结肠CME手术的相关内容及注意事项.
Complete mesocolic excision(CME)for colonic cancer offers a surgical specimen of higher quality,with higher number of lymph nodes compared to conventional colectomy.Laparoscopic CME in treating right colon cancer has advantages of minimal invasion and better prognosis.Laparoscopic surgery of right colon cancer is still a challenge because of complex anatomy,adjacent organs and variation of blood vessels.High quality Laparoscopic CME for right colon cancer requires the extensive laparoscopic experience and skills,solid knowledge of anatomy and tacit cooperation.Currently,the surgical approach of laparoscopic CME in right colon cancer is not uniform.This article introduced the contents of laparoscopic CME in right colon cancer and precautions,including the concept of CME,the indications and contraindications,surgical procedure,operation plane and the boundaries of central lymph node dissection.
URIhttp://hdl.handle.net/20.500.11897/467473
ISSN1674-3946
DOI10.3877/cma.j.issn.1674-3946.2017.02.002
Appears in Collections:北京肿瘤医院

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