中国腹腔镜右半结肠癌手术20年回顾与展望  

Reviews and prospects of laparoscopic surgery for right-sided colon cancer in China in the past two decades

作　　者：池畔[1] 黄胜辉[1] Chi Pan;Huang Shenghui(Department of Colorectal Surgery,General surgery,Fujian Medical University Union Hospital,Fuzhou 350001,China)

机构地区：[1]福建医科大学附属协和医院普通外科(结直肠外科),福建福州350001

出　　处：《中华普外科手术学杂志（电子版）》2021年第5期473-476,共4页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

基　　金：福建省微创医学中心建设项目(2017-171);福建省科技创新联合资金项目(2019Y9101,2017Y9038)。

摘　　要：近20多年,腹腔镜右半结肠癌手术在中国发展经历了从器官切除手术、以血管为中心的根治性器官切除、到基于膜解剖的功能性根治性器官切除3个发展阶段,我们见证了腹腔镜右半结肠切除术的技术探索、解剖学的再认识、肿瘤根治理念的完善、适应证的变化和新辅助治疗的进步,微创外科规范化和培训体系的完善。随着科学技术的进步,腹腔镜右半结肠癌手术在中国必将更加规范,相信未来精准的外科手术和综合治疗的进步必将更大程度改善患者的预后。In the past two decades,the development of laparoscopic surgery for right-sided colon cancer in China has experienced three stages,organ resection,blood vessel-oriented radical resection,and function-preserving radical surgery based on fascia anatomy.We have witnessed the technical exploration of laparoscopic right hemicolectomy,recognition of the anatomy,improvement of the concept of radical cancer surgery,changes in indications and progress in neoadjuvant therapy,and standardization of minimally invasive surgery and improvement of training systems.With the advancement of science and technology,laparoscopic surgery for right-sided colon cancer will become more standardized in China.It is believed that advances in precision surgery and comprehensive treatments will improve the prognoses of patients to a greater extent in the future.

关 键 词：结肠肿瘤 腹腔镜检查 完整结肠系膜切除术 

分 类 号：R73[医药卫生—肿瘤]