结肠癌完整结肠系膜切除术的临床研究  

Clinical research of colonic surgery with complete mesocolic excision in colon cancer

作　　者：张国超[1] 周雷[1] 王文跃[1] 

机构地区：[1]北京中日友好医院胃肠外科,100029

出　　处：《腹部外科》2013年第4期257-259,共3页Journal of Abdominal Surgery

摘　　要：目的 比较结肠癌完整结肠系膜切除术（CME）与传统根治手术的短期疗效和安全性.方法 回顾性分析自2012年6月至12月行CME手术的58例结肠癌患者（CME组）和行传统根治手术的50例结肠癌患者（对照组）的临床资料,比较两组在手术标本质量、清扫淋巴结数目、术中失血量等指标的差异.结果 CME组中的手术标本质量达到结肠系膜平面（C级）的是52例（89.7%）,显著高于对照组17例（34.0%）;CME组清扫的淋巴结数目为（20.7±2.1）枚,显著高于对照组的（17.4±1.8）枚;两组中的术中失血量、手术时间、术后主要的并发症比较差异并无统计学意义.结论 结肠癌CME手术相比于传统根治手术,更加符合肿瘤手术的原则,能够显著提高手术的质量,最大化清扫淋巴结,但并不增加术后的并发症,短期疗效良好.Objective To compare the short-term efficacy and safety between complete mesocolic excision （CME） and traditional radical resection in colon cancer. Methods 108 patients with colon cancer who underwent radical surgery between June 2012 and December 2012 were divided into two groups： CME group and conventional radical resection group （control group）. The specimens quality, the number of reseeted lymph nodes, operative blood loss and other indicators were Compared between the two groups. Results There was marked variation in specimens quality： the proportion of mesocolic plane was 89. 7% in CME group, significantly higher than 34. 0% in control group. The number of resected lymph nodes was significantly greater in CME group （20. 7 ± 2. 1） than in control group （17. 4±1.8）. There was no significant difference in operative blood loss, operative time, and the major postoperative complications between the two groups. Conclusion Compared to conventional radical surgery, CME surgery is more in line with the principles of tumor operation, can significantly improve the quality of surgery and increase the number of resected lymph nodes, but does not increase the postoperative complications. The short-term efficacy is satisfactory.

关 键 词：结肠肿瘤 结肠系膜 治疗结果 

分 类 号：R735.3[医药卫生—肿瘤]