右半结肠癌根治术的外科膜解剖  

Membrane anatomy of right hemicolonectomy(D3 + CME)

作　　者：龚建平[1] Gong Jianping(Department of GI Surgery,Tongji Hospital, Tongji Medical College, HUST, Wuhan 430000, China)

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》2015年第6期600-601,共2页Chinese Journal of Colorectal Diseases(Electronic Edition)

基　　金：国家自然科学基金项目(81372324)

摘　　要：现已明了,右半结肠癌根治术的要点除了右半结肠切除外,还要完成D3水平的血管高位结扎和完整的右半结肠系膜切除。无论是开放手术,还是腔镜手术,人们均采用"掀页式"的方法,从上、下、左、右四个方向完成这一手术。我们建议在膜解剖的基础上,从系膜床边缘的TJ点进入,分别分离出各系膜床,如此可以安全稳定的完成右半结肠的D3根治术联合全结肠系膜切除术。因此,本文将重点阐述右半结肠的膜解剖,供同道们讨论。Right Hemicolonectomy is the major procedure for right colon cancer. Evidencesupport that D3 lymphadene ctomy and complete mesocolic excision (CME) are the key points for the radical operation. Membrane anatomy as we proposed here, which concerns not only the plane, but also the mesentery in broad sense and its bed, supply the micro basis of anatomy in right colonectomy (D3 + CME) for right colon cancer.

关 键 词：结肠肿瘤 外科手术 解剖 

分 类 号：R735.35[医药卫生—肿瘤]