保留左结肠动脉的直肠癌根治术中国专家共识(2021版)  

Chinese expert consensus on radical resection of rectal cancer with preservation of left colonic artery(2021 edition)

作　　者：《保留左结肠动脉的直肠癌根治术中国专家共识》编审委员会 中国医师协会肛肠医师分会大肠癌综合治疗组 中西医结合学会普通外科专业委员会直肠癌防治专家委员会 兰平 李心翔[3] 郑民华[4] Editorial Committee of Chinese Expert Consensus on Radical Resection of Rectal Cancer with Preservation of Left Colorectal Artery(2021 edition);Comprehensive Treatment Group of Colorectal Cancer,Anorectal Doctor Branch,Chinese Medical Doctor Association;Expert Committee on Prevention and Treatment of Rectal Cancer,Special Committee for General Surgery,Society of Integrated Traditional Chinese and Western Medicine;Lan Ping;Li Xinxiang;Zheng Minhua

机构地区：[1]不详 [2]中山大学附属第六医院 [3]复旦大学附属肿瘤医院 [4]上海交通大学医学院附属瑞金医院

出　　处：《中华胃肠外科杂志》2021年第11期950-955,共6页Chinese Journal of Gastrointestinal Surgery

摘　　要：直肠癌根治术中保留左结肠动脉(LCA)已被越来越多的外科医师所接受,但其在是否能够降低吻合口并发症、以及是否影响肿瘤学疗效等方面仍存在争议。本共识针对保留LCA的意义、解剖学基础、操作技术要点、保留LCA的适应证和禁忌证以及手术入路的选择等进行了详细的阐述,每项陈述和推荐都获得了结直肠外科领域大多数专家的认可。本共识旨在提高我国结直肠外科医师对保留LCA的认知水平,以期规范保留LCA的手术策略和手术方式,并加以实践和推广。共识中尚未解决的临床问题,尚需开展高质量的临床研究进行探索和解决。The preservation of left colonic artery(LCA)has been accepted by more and more surgeons in the radical resection of rectal cancer,but whether it can reduce anastomotic complications and affect the oncology efficacy remains controversial.This consensus elaborates the significance,anatomical structure,key points of operation techniques,indications and contraindications,and surgical approaches of LCA preservation.Each statement and recommendation was recognized by most experts in the field of colorectal surgery.The purpose of this consensus is to improve the cognitive level of Chinese colorectal surgeons on LCA preservation,so as to standardize the surgical strategies and methods of LCA preservation and furthermore practice,and promote it.The pending issues in this consensus need further high-quality clinical studies.

关 键 词：直肠肿瘤 左结肠动脉 吻合口血供 吻合口漏 肿瘤学疗效 

分 类 号：R735.37[医药卫生—肿瘤]