腹腔镜尾侧入路法根治性右半结肠切除术应用进展  

Progress in the application of laparoscopic caudal-to-cranial approach for radical right hemicolectomy

作　　者：薛来洲 黄佳敏 李璇 林圳滨 甘国莲 张力 王浩 盖娟娟 邹瞭南 Xue Laizhou;Huang Jiamin;Li Xuan;Lin Zhenbin;Gan Guolian;Zhang Li;Wang Hao;Gai Juanjuan;Zou Liaonan(The Second Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510120,Guangdong,China;Department of Anorectal Surgery,the Second Affiliated Hospital of Guangzhou University of Chinese Medicine(Guangdong Hospital of Traditional Chinese Medicine),Guangzhou 510120,Guangdong,China)

机构地区：[1]广州中医药大学第二临床医学院,广东广州510405 [2]广州中医药大学第二附属医院(广东省中医院)肛肠外科,广东广州510120

出　　处：《消化肿瘤杂志（电子版）》2024年第4期424-428,共5页Journal of Digestive Oncology(Electronic Version)

摘　　要：腹腔镜尾侧入路法右半结肠癌根治术于2015年由笔者团队在国内首次提出,并开展了一系列临床研究和学术推广,2017年写入《腹腔镜结直肠手术入路选择专家共识》,目前在国内各级医院中被广泛开展。它是右半结肠癌腹腔镜根治术的优选手术方式之一,具有减少术中出血量、降低手术难度、易于学习等优点。本文在对此手术入路技术特点与优势进行回顾性分析的基础上,对学习曲线、肿瘤根治性及相关临床研究进展进行述评,阐释其治疗效果。In 2015,the author's team first proposed the laparoscopic caudal-to-cranial approach for radical right hemicolectomy in China,and carried out a series of clinical studies and academic promotion.In 2017,it was written into the Expert consensus on the selection of laparoscopic colorectal surgery approach,and is currently widely used in various hospitals in China.It is one of the preferred surgical methods for laparoscopic radical surgery for right colon cancer,which has the advantages of reducing intraoperative blood loss,reducing surgical difficulty,and being easy to learn.Based on a retrospective analysis of the technical characteristics and advantages of this surgical approach,this article reviews the learning curve,tumor curability and relevant clinical research progress,and explains its clinical surgical treatment effect.

关 键 词：结直肠癌 腹腔镜手术 尾侧入路 

分 类 号：R735.35[医药卫生—肿瘤]