右半结肠癌D3+CME关键技术  

The key technology of right hemicolonectomy(D3 + CME)

作　　者：童宜欣[1] 龚建平[1] Tong Yixin Gong Jianping(Department of GI Surgery, Tongji Hospital, Tongji Medical College, HUST, Wuhan 430030, Chin)

机构地区：[1]华中科技大学同济医学院附属同济医院胃肠外科,武汉430000

出　　处：《中华结直肠疾病电子杂志》2017年第4期280-283,共4页Chinese Journal of Colorectal Diseases(Electronic Edition)

基　　金：国家自然科学基金项目(No:81372324)

摘　　要：右半结肠肿瘤的D3和CME术式已经被国内外文献证实能够取得良好的肿瘤学效果,但二者孰优孰劣,一直纷争不断。我们在多年研究的基础上,提出了基于"膜解剖"理论的D3+CME术式,与传统的D3和CME手术相比,D3+CME术式有出血少,淋巴结清扫彻底,系膜切除完整的特点。本文根据笔者的经验,探讨D3和CME术式的优劣,介绍D3+CME术式的操作要点,供有一定手术经验的结直肠外科医生作为参考。The D3 lymphadenectomy and complete mesocolic excision（CME） of right hemicolonectomy have been proved to have an improved oncological outcome both at home and abroad, but it is still unknown which one is better. The D3 ＋ CME we proposed on membrane anatomy have been proved to be less bleeding, more complete lymph node dissection and more complete mesocolic excision. Here we discuss the advantage and disadvantage between D3 and CME, and introduce the key technology in D3 ＋ CME.

关 键 词：结直肠肿瘤 膜解剖 D3+CME 

分 类 号：R735.35[医药卫生—肿瘤]