左手操作在腹腔镜右半结肠癌和直肠癌根治术中的应用优势及训练技巧  

Advantages and training techniques of left-handed manipulation in laparoscopic radical resection of right-sided colon cancer and rectal cancer

作　　者：林岳瀛 杨婷[1] 安丽娅[1] 戚宇星[1] 史燕妹 孙大力[1] Lin Yueying;Yang Ting;An Liya;Qi Yuxing;Shi Yanmei;Sun Dali(Department of Gastrointestinal SurgeryⅡ,The Second Affiliated Hospital of Kunming Medical University,Kunming 650031,Yunnan,China;Department of GastroenterologyⅠ,The Second Affiliated Hospital of Kunming Medical University,Kunming 650031,Yunnan,China)

机构地区：[1]昆明医科大学第二附属医院胃肠外科二病区,云南昆明650031 [2]昆明医科大学第二附属医院消化内科一病区,云南昆明650031

出　　处：《结直肠肛门外科》2024年第4期422-427,434,共7页Journal of Colorectal & Anal Surgery

摘　　要：腹腔镜手术是目前用于治疗结直肠癌的主要手术方式,受肿瘤邻近部位的解剖特点、肿瘤大小、Trocar分布等因素影响,大多数习惯右手操作的外科医师顺畅地完成一台高质量的腹腔镜结直肠癌根治术并非易事。因此,训练双手操作在腹腔镜手术过程中的配合很重要,尤其是左手操作。若能增强左手操作的灵活性,将使手术流程更加顺畅。本文基于笔者团队的临床实践经验,以腹腔镜右半结肠癌根治术和腹腔镜直肠癌根治术为例,指出术中右手操作遇到的困难及其原因,论述左手操作的应用优势,同时提出优化左手操作训练的方法及建议。Laparoscopic surgery is currently the primary surgical approach for the treatment of colorectal cancer.Due to factors such as anatomical characteristics of adjacent tumor sites,tumor size,and Trocar distribution,it is not easy for most right-handed surgeons to smoothly perform high-quality laparoscopic radical resection of colorectal cancer.Therefore,it is crucial to train the coordination of two-handed manipulation during laparoscopic surgery,particularly lefthanded manipulation.Enhancing the flexibility of left-handed manipulation can streamline the surgical process.Based on the clinical practice experience of our team,this article takes laparoscopic radical resection of right-sided colon cancer and laparoscopic radical resection of rectal cancer as examples.It points out the difficulties and causes encountered during right-handed manipulation during surgery,discusses the advantages of left-handed manipulation,and proposes methods and suggestions for optimizing left-handed manipulation training.

关 键 词：结直肠癌 腹腔镜右半结肠癌根治术 腹腔镜直肠癌根治术 左手操作 

分 类 号：R735.3[医药卫生—肿瘤]