对完整结肠系膜切除理念的再认识——在质疑声中完善与成熟  

Further understanding of the complete mesocolic excision concept： controversy and consensus

作　　者：叶颖江[1] 王杉[1] 

机构地区：[1]北京大学人民医院胃肠外科,100044

出　　处：《中华胃肠外科杂志》2012年第10期1005-1007,共3页Chinese Journal of Gastrointestinal Surgery

基　　金：首都临床特色应用研究项目（Z111107058811046）

摘　　要：精细解剖手术正成为手术发展的趋势，它奠定了根治性切除的基石。直至今日．仍有部分医生在进行结肠及其系膜切除不够完整的手术。完整结肠系膜切除术（CME）手术按照外科平面，依据肿瘤学原则，施行高质量根治手术，精细解剖，精准手术的理念贯穿在整个手术过程。CME这一手术理念已经过3年考验和推广．尽管尚存在争议．但CME的提出已掀起了全世界范围重视结肠手术质量的高潮。现在已到了需要关注结肠癌手术质量的时代．手术质量的优劣直接影响到患者是否可以获得最佳的根治机会。The precise anatomic surgery is the cornerstone of curative resection and is becoming a trend of modern surgery. Currently, there are still many inadequate resections of colon cancer continue to be performed. Complete mesocolic excision （CME） according to the surgical plane, based on the principles of oncology, is a high-quality radical operation obtaining optimal oncological pathological specimen, with precise surgical concept throughout the entire surgical procedure. CME has been proposed for three years. Although there are still some controversies, CME has set off a worldwide climax of emphasis on quality of colon surgery. It is time to focus on the quality of colon-cancer surgery in order to ensure that all patients with colon cancer receive the highest possible chance for cure.

关 键 词：结肠肿瘤 完整结肠系膜切除术 手术质量:规范化 

分 类 号：R735.35[医药卫生—肿瘤]