腹腔镜结肠癌完整系膜切除术51例临床研究  

Laparoscopic Complete Mesocolic Excision (CME) for Colon Cancer

作　　者：杨增辉[1] 许炳华[1] 顾元龙[1] 金成[1] 李建平[1] 鲍传庆[1] 

机构地区：[1]江苏省无锡市第三人民医院胃肠外科,无锡214041

出　　处：《中国中西医结合外科杂志》2013年第2期115-117,共3页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

摘　　要：目的:探讨腹腔镜结肠癌完整系膜切除术的经验。方法:回顾分析51例腹腔镜结肠癌完整系膜切除术患者的临床资料,分析其技术可行性、安全性。结果:51例均成功完成腹腔镜下结肠系膜切除术,按照手术质量等级判定系统判定,优48例;中位清扫淋巴结20枚。结论:腹腔镜结肠系膜切除术有望成为结肠癌规范化的手术方式。Objective To evaluate the experience of laparoscopic complete mesocolic excision （CME） for colon cancer. Methods The elinicopathological data of 51 patients with colon cancer underwent laparoseopic CME were analyzed retrospectively. The technical feasibility and security of surgery were assessed, and the surgi- cal procedures, anatomic planes and technical tips were also analyzed by drawings and videos. Results All the 51 cases were successfully performed with laparoscopic CME and 48 specimens were evaluated pathological- ly as mesocolic plane. The median number of total lymph nodes retrieved was 20. Conclusion CME is a nov- el concept for colon cancer and might be a standardized surgical procedure.

关 键 词：腹腔镜 结肠癌 完整结肠系膜切除术 

分 类 号：R656.4[医药卫生—外科学]