中国腹腔镜右半结肠癌根治术式选择与规范化  

Selection and standardization of laparoscopic radical resection of right colon cancer in China

作　　者：杜晓辉[1] 刘帛岩 Du Xiaohui;Liu Boyan(Department of General Surgery,the First Medical Center,Chinese PLA General Hospial,Bejing 10853,China)

机构地区：[1]解放军总医院第一医学中心普通外科医学部,北京100853

出　　处：《中华普外科手术学杂志（电子版）》2022年第5期478-481,共4页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

基　　金：国家自然科学基金项目(81871317,61471397,61170123)。

摘　　要：随着腹腔镜技术的发展,腹腔镜手术在结肠癌手术中得到了广泛的应用。其高清视野和放大效果有利于术者进行精细的解剖和操作。经过多年实践,腹腔镜手术的安全性和有效性已得到了证实,被外科专家所推崇。对于右半结肠瘤来说,D2根治术、D3根治术、完整结肠系膜切除术(complete mesocolicexcision,CME)等淋巴结清扫方式和手术方案层出不穷,端侧吻合、端端吻合、侧侧吻合等消化道重建方式多种多样。在面对不同患者时,选择合适的淋巴结清扫方案及消化道重建方式至关重要。同时,规范的手术操作,也是患者手术安全和良好预后的重要保障。With the development of laparoscopic technology,laparoscopic surgery has been widely used in colon cancer surgery.Its high-resolution field of vision and magnification ffect allow the surgeon to perform delicate dissection andmanipulation.Affer years of practice,laparoscopic surgery has been proved to be safe and effective,and is highly respected by surgical experts.For right colon cancer,there are various lymph node dissection methods and surgical plans such as D2 radical resection,D3 radical resection and CME resection,and various digestive tract reconstruction methods such as end-to-end anastomosis,end-to-side anastomosis and side-to-side anastomosis.it is very important to select appropriate lymph node dissection and digestive tract reconstruction in clinical practice.Also,standardized surgical operation is a crucial guarantee for surgical safety and good prognosis of patients.

关 键 词：结肠肿瘤 腹腔镜 淋巴结切除术 消化道重建 

分 类 号：R735.35[医药卫生—肿瘤]