肥胖病人行腹腔镜直肠癌手术的操作要点及策略  

Operative key factors and technical strategies of laparoscopic rectal cancer surgery in obese patients

作　　者：张鹏[1] 陶凯雄[1] ZHANG Peng;Tao Kai-xiong(Department of Gastrointestinal Surgery,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院胃肠外科,湖北武汉430022

出　　处：《中国实用外科杂志》2023年第10期1115-1118,共4页Chinese Journal of Practical Surgery

基　　金：国家自然科学基金项目(No.81702386,No.82072736);湖北省自然科学基金面上项目(No.2021CFB566)。

摘　　要：腹腔镜手术作为治疗直肠癌的主要手术方式,如何根据肥胖病人的特点制定合适的手术策略仍是一个亟待解决的问题。肥胖直肠癌病人行腹腔镜手术时,应贯彻“以病人为中心”的围手术期外科之家理念,充分了解病人独特的临床特点,根据肥胖病人的解剖结构及生理特征选择恰当的术中通气策略及手术入路,重视血管神经的保护及肿瘤的完整切除,提高肥胖直肠癌病人手术治疗效果,降低手术难度,减少术后并发症的发生。Laparoscopic surgery is the main surgical method for rectal cancer,and formulating the appropriate surgical program according to the characteristics of obese patients is still an urgent problem to be solved.When obese patients with rectal cancer undergo laparoscopic surgery,the"patient-centered"Perioperative Surgical Home concept should be implemented.It is necessary to fully understand the unique clinical characteristics of patients,select appropriate intraoperative ventilation strategy and surgical approaches according to their special anatomical structure and physiological characteristics,pay attention to the protection of blood vessels and nerves and ensure the complete resection of tumors,which can improve the surgical treatment effect of obese patients with rectal cancer and reduce the difficulty of surgery.Reduce the occurrence of postoperative complications.

关 键 词：直肠癌 肥胖 腹腔镜手术 

分 类 号：R6[医药卫生—外科学]