全结肠系膜切除在腹腔镜结肠癌根治术中的应用  

Experience of laparoscopic complete mesocolic excision in radical resection for colon cancer

作　　者：林武华[1] 黄前堂[1] 李俊青[1] 楚军敏[1] 何玉芬[1] 周琦[1] 崔剑雄[1] 

机构地区：[1]武警四川总队医院肿瘤科,四川乐山614000

出　　处：《局解手术学杂志》2014年第3期255-257,共3页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的探讨全结肠系膜切除(CME)在腹腔镜结肠癌根治术中的应用。方法 102例腹腔镜手术患者按手术方法分为2组,68例行CME为CME组,34例行传统手术为传统手术组,对2组进行回顾性分析。结果 CME组与传统腹腔镜手术组相比,手术时间、肛门排气时间、住院时间稍增加,术后引流量减少,术中出血量减少,差异具有统计学意义;而且,CME组清扫淋巴结个数增多,与传统腹腔镜手术组比较差异具有统计学意义,P<0.05;但术后并发症发生率2组比较无显著差异,P>0.05。结论在腹腔镜下结肠癌根治术中应用CME技术具有减少肿瘤播散、淋巴结清扫更彻底的优势。Objective To investigate the experience of laparoscopic complete mesocolic excision （CME） for colon cancer. Methods There were102 patients ,of which 68 cases with colon cancer were performed laparoseopic CME,34 cases were treated by traditional surgery. The 2 groups were reviewed retrospectively. Results As compared with the traditional group, the operation time, time of first flatus, hospital stay in the CME group increased. The postoperative suction drainage was decreased in CME group. The CME group had less blood loss and more mean lymph nodes clearance than the traditional group. The complication incidences had no significant differences between 2 groups. Conclusion Laparoscopic CME for colon cancer,with the advantages of less tumor spreading and more thoroughly lymph node dissection, is worthy of clinical application.

关 键 词：全结肠系膜切除术 腹腔镜 结肠癌 

分 类 号：R735.35[医药卫生—肿瘤] R656.9[医药卫生—临床医学]