腹腔镜右半结肠癌D3根治术消化道吻合重建方式的选择  

Choice of digestive tract reconstruction after laparoscopic right colectomy of colon cancer

作　　者：周岩冰[1] 刘晓东[1] Zhou Yanbing;Liu Xiaodong(Department of Gastrointestinal Surgery,Affiliated Hospital of Qingdao University,Qingdao Shandong Province 266003,China)

机构地区：[1]青岛大学附属医院胃肠外科,山东青岛266003

出　　处：《中华普外科手术学杂志（电子版）》2024年第1期9-13,共5页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

基　　金：山东省自然科学基金(ZR2021MH001)。

摘　　要：腹腔镜右半结肠D3根治术目前被认为是右半结肠癌的标准治疗方法,右半结肠切除后消化道吻合重建方式目前主要分为腹腔外回肠-结肠吻合(EIA)及腹腔内回肠-结肠吻合(IIA)。EIA吻合技术上操作更简单。由于整个IIA在腹腔内进行,因此具有肠道功能恢复快、切口小等优点。然而,IIA耗时长且技术难度大,限制了它的广泛使用,而且腹腔内吻合是否增加术后腹腔感染及吻合口漏的发生,尚未澄清。因此,目前重建方式的选择仍存在争议。本文将阐述腹腔镜右半结肠癌D3根治术消化道吻合重建方式及临床效果,旨在为临床医生的选择提供更多参考。Laparoscopic right colectomy is considered to be the standard treatment of colon cancer, the digestive tract reconstruction after resection divides into extracorporeal ileocolic anastomosis (EIA) and intracorporeal anastomosis ileocolic anastomosis (IIA);EIA is simple to perform, whiles the IIA is performed in the abdominal cavity, which leads to fast intestinal function recovery and small incision. However, IIA is time-consuming and difficult in technically, which limit the widespread use, and it is not clear whether intraperitoneal anastomosis increases the incidence of postoperative intra-abdominal infection and anastomotic leakage. Therefore, the choice of reconstruction is still controversial. This article will describe the methods and clinical results of digestive tract reconstruction after laparoscopic right colectomy, in order to provide more references for clinicians.

关 键 词：结肠肿瘤 腹腔镜 右半结肠切除术 消化道重建 

分 类 号：R735.35[医药卫生—肿瘤]