单孔+1腹腔镜直肠癌侧方淋巴结清扫术  

Single-incision plus one-port laparoscopic lateral lymph node dissection for rectal cancer

作　　者：庄宝雄 邓海军[1] Zhuang Baoxiong;Deng Haijun(Department of Colorectal Surgery,Southern Medical University Nanfang Hospital,Guangzhou Guangdong Province 510515,China)

机构地区：[1]南方医科大学南方医院结直肠肛门外科,广州510515

出　　处：《中华普外科手术学杂志（电子版）》2024年第6期601-601,共1页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

基　　金：广东省自然科学基金-面上项目(2021A1515010989);广东省自然科学基金-面上项目(2023A1515010274);国家自然科学基金面上项目(81972631);国家自然科学基金面上项目(82273039)。

摘　　要：对于新辅助治疗后侧方淋巴结转移的直肠癌患者,盆腔侧方淋巴结清扫手术可以有效清除侧方转移淋巴病灶,并且可以有效减低直肠癌局部复发率。尽管盆腔侧方淋巴结清扫手术具有技术挑战性,且学习曲线相对较长,但是随着微创外科技术的发展,该复杂手术正在快速形成标准化。已有大量文献报道,根据其可行性和近远期效果,腹腔镜辅助下盆腔侧方淋巴结清扫手术是安全、可靠和有用的方法。Lateral pelvic lymph node dissection(LPLND)for rectal cancer is effective in removing metastatic lymph nodes,and has been shown to have a decreased local recurrence rate after neoadjuvant therapy.Although it is a technically challenging procedure and has a relatively long learning curve,technical improvements in minimally invasive surgery have resulted in rapid technical standardization of this complicated procedure.The feasibility and short-and long-term outcomes of laparoscopic LPLND have been reported widely.Our preliminary surgical experience suggests that single-incision laparoscopic surgery(SILS)is a safe,feasible,and useful approach for patients with rectal cance.

关 键 词：直肠肿瘤 侧方淋巴结清扫 单孔腹腔镜 

分 类 号：R735.37[医药卫生—肿瘤]