腹腔镜右半结肠切除同期行肝方叶转移癌切除1例  

Laparoscopic Right Hemicolectomy with Simultaneous Resection of Liver Metastases in the Square Lobe:a Case Report

作　　者：汪圣毅[1] 闫强[1] 张俊义 佘贤忠 WANG Sheng-yi;YAN Qiang;ZHANG Jun-yi;SHE Xian-zhong(Department of general Surgery,the First affiliated Hospital of anhui Medical University,Hefei 230022,Anhui Province,China)

机构地区：[1]安徽医科大学第一附属医院普外科,安徽合肥230022

出　　处：《罕少疾病杂志》2024年第5期7-8,共2页Journal of Rare and Uncommon Diseases

摘　　要：目的分析腹腔镜下同期治疗结肠癌及其肝转移的过程,探讨腹腔镜同期手术在治疗结肠癌肝转移中的作用。方法回顾性分析2023年3月安徽医科大学第一附属医院1例结肠癌伴肝方叶转移患者的临床资料,同期行混合入路腹腔镜右半结肠切除、Glisson蒂横断法肝方叶转移癌切除。结果RO切除右半结肠及肝转移癌,术中出血量约50 mL,第4天拔引流管,无并发症,顺利出院。病理结果:结肠溃疡型低分化腺癌,肠周(12/21)个淋巴结有癌转移,低分化肝转移癌。结论腹腔镜同期行右半结肠切除和肝转移癌切除的治疗安全可行,采用新的手术路径和操作模式可保证手术安全,值得推广。Objective The process of laparoscopic simultaneous resection of colon cancer and its liver metastasis was analyzed,and the role of laparoscopic concurrent surgery in the treatment of colon cancer liver metastasis was discussed.Methods The clinical data of one colon cancer patient with square lobe metastasis in the First affiliated Hospital of anhui Medical University in March 2023 were retrospectively analyzed,and laparoscopic right hemicolectomy by mixed surgical approach combined with liver metastasis resection by glisson pedicle transection were performed at the same time.Results R0 resection of colon cancer and its liver metastases was performed with the intraoperative bleeding was about 50 ml.The drainage tube was removed on the 4th day with no complications.The patient was successfully discharged.Pathological results:colon ulcerative poorly differentiated adenocarcinoma,with peri-intestinal metastatic lymph nodes(12/21).liver metastases were poorly differentiated.Conclusion Laparoscopic right hemicolectomy and simultaneous liver metastasis resection is safe and feasible,and the use of new surgical approach and operation methods can ensure the safety,which is worth being popularized.

关 键 词：腹腔镜右半结肠切除术 结肠癌肝转移 腹腔镜肝切除术 Glisson蒂横断法 

分 类 号：R656.9[医药卫生—外科学] R657.3[医药卫生—临床医学]