单孔经腹膜后入路行保留左结肠动脉的乙状结肠癌根治术(附视频)  

Radical treatment of sigmoid colon cancer with preservation of the left colic artery by single-port retroperitoneal approach

作　　者：谢尔盖·叶菲托夫 曹宇 关旭 刘正 波琳娜·帕诺娃 王锡山 Sergey Efetov;Cao Yu;Guan Xu;Liu Zheng;Polina Panovd;Wang Xishan(Department of Faculty Surgery No.2,I.M.Sechenov First Moscow State Medical University(Sechenov University),Moscow 119991,Russia;Department of Colorectal Surgery,National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100021,China;Department of Colorectal Surgery,Shanxi Province Cancer Hospital/Hospital Afiliated to Cancer Hospital,Chinese Academy of Medical Sciences/Cancer Hospital Affiliated to Shanxi Medical University,Taiyuan 030013,China)

机构地区：[1]俄罗斯莫斯科国立谢东诺夫第一医科大学第二学院外科,莫斯科119991 [2]国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院结直肠外科,北京100021 [3]中国医学科学院肿瘤医院山西医院/山西省肿瘤医院/山西医科大学附属肿瘤医院结直肠外科,太原030013

出　　处：《中华结直肠疾病电子杂志》2024年第2期166-170,共5页Chinese Journal of Colorectal Diseases(Electronic Edition)

摘　　要：随着腹腔镜手术技术在结直肠癌手术中的应用日臻成熟,其操作精度高、术后恢复快,深受外科医生青睐。但面对肥胖或腹腔严重粘连的患者,常规腹腔镜入路则变得尤为困难。对于这类患者,寻求一种更安全有效的入路显得极为重要。目前,尚无腹膜后入路治疗乙状结肠癌的报告。本例报告1例对乙状结肠癌女性患者成功经腹膜后入路,行保留左结肠动脉的D3淋巴结清扫术。As the application of laparoscopic surgical technique in colorectal cancer surgery becomes more and more mature,it is favored by surgeons because of its high precision of operation and fast postoperative recovery.However,in the face of obese patients or patients with severe adhesions in the abdominal cavity,the conventional laparoscopic approach becomes particularly difficult.For these patients.it is important to seek a safer and more effective approach.Currently.there is no report of retroperitoneal approach for the treatment of sigmoid colon cancer.In this case,we report a female patient with sigmoid colon cancer who underwent successful D3 lymph node dissection with preservation of the left colonic artery via retroperitoneal approach.

关 键 词：结肠肿瘤 腹膜后入路 D3淋巴结清扫 腹腔镜 

分 类 号：R735.37[医药卫生—肿瘤]