直肠癌根治术中肠系膜下动静脉结扎部位的研究进展与争议  被引量:1

Research progress and controversy on ligation site of inferior mesenteric artery and vein in radical resection of rectal cancer

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作  者:张哲 胡柏庚 刘跃[1,2] 熊兵红[1,2] Zhang Zhe;Hu Bogeng;Liu Yue;Xiong Binghong(Department of General Surgery,the First Afiliated Hospital of Kunming Medical University,Kunming 650032,China;N0.1 School of Clinical Medicine,Kunming Medical University,Kunming 650032,China)

机构地区:[1]昆明医科大学第一附属医院普通外科,昆明650032 [2]昆明医科大学第一临床医学院,昆明650032

出  处:《国际外科学杂志》2024年第5期342-349,共8页International Journal of Surgery

基  金:云南省教育厅科学研究基金(2016ZZX092);云南省科技厅-昆明医科大学应用基础研究联合专项资金面上项目(2017FE468-053)。

摘  要:直肠癌根治术中肠系膜下动静脉结扎部位的选择依旧是至关重要且充满争议的,也是决定淋巴结清扫是否彻底、术后相关神经血管是否损伤、肠管的供血及吻合口是否受到影响,以及患者生活质量是否得到保证等一系列问题的关键。因此,本文查阅近年来国内外文献并总结了肠系膜下动静脉结扎位置的处理方法,阐述不同的结扎部位对肿瘤学效益及功能预后的影响,旨在为外科医师针对此类问题提供临床参考,以达最佳临床疗效。The choice of ligation site of inferior mesenteric artery and vein in radical resection of rectal cancer still is crucial and full of controversy.It is also the key to determine whether the lymph node dissection is complete,whether the related nerves and vessels are injured after operation,whether the blood supply of the bowel and the anastomotic stoma are affected,and whether the quality of life of patients is guaranteed.Therefore,this article reviews the literature at home and abroad in recent years and summarizes the treatment of inferior mesenteric artery and vein ligation position,and elaborates the influence of different ligation sites on the oncological benefit and functional prognosis of patients,aiming to provide clinical reference for surgeons to solve such problems and achieve the best clinical effect.

关 键 词:直肠肿瘤 肠系膜下动脉 肠系膜静脉 结扎 

分 类 号:R735.37[医药卫生—肿瘤]

 

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