完整结肠系膜切除在Ⅲ期结肠癌手术治疗中的应用分析  

The appraisal of the preliminary treatment effect of complete mesocolic excision in stage Ⅲ colon cancer surgery

作　　者：王强[1] 江川[1] 顾伟青[1] 

机构地区：[1]福建医科大学附属闽东医院,福建福安355000

出　　处：《临床医药实践》2014年第5期323-325,共3页Proceeding of Clinical Medicine

基　　金：福建省宁德市科技计划项目(项目编号:20130213)

摘　　要：目的:评价完整结肠系膜切除(CME)在Ⅲ期结肠癌患者手术治疗中的效果。方法:回顾性分析2011年7月—2013年5月就诊于肿瘤外科的60例Ⅲ期结肠癌住院患者的临床资料。结果:60例患者均行CME,中位手术时间171 min,术中出血量120 mL,淋巴结清扫数量(26.5±2.5)枚,中央淋巴结数量(4.5±1.2)枚。中央淋巴结阳性为21.7%。术后排气中位时间4 d,排便中位时间5 d,术中中位出血量120 mL。手术并发症发生率为8.3%。结论:CME在Ⅲ期结肠癌手术治疗中能更好地行根治性完整切除,达到系膜切除的最大化,局部淋巴结更能彻底清扫,不增加手术风险及术后并发症发生率,Ⅲ期患者更能从中受益。Objective：To investigate the treatment effect of complete mesocolic excision （CME） in stage m colon cancer surgery. Methods：The cilical data of 60 cases who were diagnosed as in stage Ⅲ colon cancer in hospital oncology department from July 2011 to May 2013 were analyzed retrospectively. Resuhs ：All 60 patients underwent surgery CME, and the median op- erative time was 2.85 h,the blood loss was 120 mL,the number of lymph node dissection was （26.5 ±2.5） ,and the central lymph nodes was （4.5 ± 1.2）. The central lymph node positive results was 21.7%. The median time to flatus was 4 days,the median time defecation could be 5 days,and the median intraoperative blood loss was 120 mL. The surgical complication rate was 8.3%. Conclusion：CME in the surgical treatment of colon cancer in stage m better radical complete resection, achieve the maximization of mesangial excision, maximize the regional lymph nodes dissection, but does not increase the risk of surgery and postoperative complication rate. So stage Ⅲ colon cancer patients benefit more from CME.

关 键 词：完整结肠系膜切除 Ⅲ期结肠癌 分析 

分 类 号：R735.35[医药卫生—肿瘤]