全腹腔镜左半结肠切除腔内吻合术  

Total laparoscopic left colectomy intracorporeal anastomosis

作　　者：何亮[1] 陈岩[1] 王权[1] He Liang;Chen Yan;Wang Quan(Department of Gastrointestinal Surgery,the First Hospital,Jilin University,Changchun,Jilin 130021,China)

机构地区：[1]吉林大学白求恩第一医院胃肠外科,长春130021

出　　处：《中华胃肠外科杂志》2020年第11期1110-1112,共3页Chinese Journal of Gastrointestinal Surgery

基　　金：国家卫生计生委行业重点专项(W2017ZWS01)。

摘　　要：腹腔镜辅助结肠癌根治术已被大家所接受。近年来,全腹腔镜左半结肠切除后腔内吻合术的应用逐渐增多。该方法具有小切口、疼痛轻和术后恢复快等优点,并且不会增加术后并发症的发生率,已被临床医生逐渐接受,各种腔内结肠吻合的方式也不断涌现。目前,腔内结肠吻合可采用手工端端缝合,也可借助吻合器端侧或端端吻合,尚无统一意见及标准。从文献来看,主流方式是直线切割闭合器行侧侧吻合,而术者应根据个人技术特点、肠管具体情况、患者客观经济状况灵活选择,制定个体化的吻合方式。Laparoscopic left colectomy(LLC)has been widely performed for treating patients with left hemicolon cancer.For less invasion,totally laparoscopic left colectomy intracorporeal anastomosis(TLC/IA)has been increasingly attempted and proposed.Up to now,there is no standard for intracorporeal anastomosis.Authors list various types of intracorporeal anastomosis in terms of technical details and postoperative complications.According to the literatures,side to side anastomosis with linear laparoscopic stapler is the mainstream method.Surgeons should make flexible choices based on personal technical characteristics,colon conditions and objective economic conditions of patients.An individualized anastomosis method is acceptable.

关 键 词：结肠肿瘤 全腹腔镜左半结肠切除术 腔内吻合 

分 类 号：R735.35[医药卫生—肿瘤]