腹腔镜右半结肠癌根治术  

Laparoscopic radical right hemicolectomy

作　　者：杨合利 步召德[1] Yang Heli;Bu Zhaode(Department of Gastrointestinal Surgery,Key Laboratory of Carcinogenesis and Translational Research(Ministry of Education),Peking University Cancer Hospital and Institute,Beijing 100142,China)

机构地区：[1]北京大学肿瘤医院胃肠肿瘤中心二病区,100142

出　　处：《中华普外科手术学杂志（电子版）》2021年第5期491-491,共1页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

摘　　要：全身麻醉,腹腔镜穿刺孔位置采用5孔法。全面详细探查腹腔,遵循由远及近的原则。中间入路处理血管,遵循以肠系膜上静脉为标志,从十二指肠水平段下方开始依次根部分离、结扎、切断回结肠动静脉,右结肠动静脉及中结肠动静脉,并清扫203组、213组及223组淋巴结。向头侧及外侧拓展右结肠后间隙,游离结肠肝曲及升结肠外侧,上腹正中5cm小切口,依次取出回盲部,升结肠,结肠肝曲及横结肠和部分大网膜。距回盲部10 cm切断回肠,距肿瘤10cm处切断横结肠,管状吻合器行回肠横结肠端侧吻合。Under general anesthesia,5 holes were adopted for laparoscopic puncture.Following the principle of from far to near,the abdominal cavity was explored comprehensively.The medial-to-lateral approach was used to deal with vessels.Marked by superior mesenteric vein,the roots of ileocolic artery and vein,right colonic artery and vein and middle colonic artery and vein were isolated,ligated and cut off below the horizontal segment of the duodenum.Meanwhile,the lymph nodes of 203 groups,213 groups and 223 groups were removed.Extended the posterior space of the right colon toward the cephalic and lateral side,and dissected the hepatic flexure of colon and the lateral ascending colon.5cmincision in the middle of upper abdomen was made to remove ileocecal part,ascending colon,hepatic flexure of colon,transverse colon and part of greater omentum.The ileum was cut off 10cm away from the ileocecal part,and the colon was cut off 10cm away from the tumor.End-to-side ileocolic anastomosis was performed with a tubular stapler.

关 键 词：结肠肿瘤 腹腔镜 结肠切除术 

分 类 号：R73[医药卫生—肿瘤]