腹腔镜结直肠癌手术腹膜后淋巴结清扫关键技术  

Key techniques for laparoscopic resection of colorectal cancer with retroperitoneal lymph node dissection

作　　者：郝立强 郭海洋 洪永刚 HAO Li-qiang;GUO Hai-yang;HONG Yong-gang(Department of Colorectal Surgery,the First Affiliated Hospital of Naval Medical University,Shanghai 200433,China)

机构地区：[1]海军军医大学第一附属医院肛肠外科,上海200433

出　　处：《中国实用外科杂志》2023年第10期1128-1133,共6页Chinese Journal of Practical Surgery

基　　金：上海市科学技术委员会重点课题项目(No.SY202211RVE02);中国人民解放军海军军医大学第一附属医院面上培育项目(No.2019YXK033)。

摘　　要：腹膜后淋巴结转移是影响结直肠癌病人预后的重要因素。越来越多的证据表明,清扫腹膜后淋巴结有望改善部分病人预后,使其获得长期生存。现阶段对于有腹膜后淋巴结转移的结直肠癌病人的治疗策略尚未达成共识,故在考虑手术前,应全面评估病人淋巴结远处转移情况,进行必要的影像学诊断。随着腹腔镜技术的发展,对结直肠癌行腹腔镜腹膜后淋巴结清扫有望获得较好的治疗效果。这也对完善治疗策略方面提出挑战。Retroperitoneal lymph node metastasis is an important prognostic factor in colorectal cancer.Increasing evidence suggests that retroperitoneal lymph node dissection holds the potential to improve the prognosis of some patients and achieve long-term survival.At this stage,there is no consensus on the treatment strategy of colorectal cancer patients with retroperitoneal lymph node metastasis,so patient's distant lymph node metastasis should be comprehensively evaluated and necessary imaging diagnosis should be performed before considering the operation.With the development of laparoscopic technology,laparoscopic retroperitoneal lymph node dissection for colorectal cancer is expected to obtain better results.This also poses a challenge in refining the treatment strategies.

关 键 词：腹腔镜手术 结直肠癌 腹膜后淋巴结 淋巴结转移 

分 类 号：R6[医药卫生—外科学]