腹腔镜保留左结肠动脉直肠癌根治术的研究进展  

Research Progress of Preserving Left Colon Artery during Laparoscopic Radical Resection of Rectal Cancer

作　　者：陈日龙 唐云昊 张剑波[1] 李潼 朱鹏[1] 

机构地区：[1]重庆医科大学附属第二医院胃肠肛肠外科,重庆

出　　处：《临床医学进展》2022年第4期3616-3621,共6页Advances in Clinical Medicine

摘　　要：直肠癌作为常见消化道肿瘤之一,其发生率逐年增加,手术治疗仍是目前治疗直肠癌的主要方式,因此规范而有效的手术治疗是直肠癌治疗的关键,手术中对肠系膜下动脉的处理是低位直肠癌手术的关键步骤之一,其中保留左结肠动脉(LCA)直肠癌根治术已被广大外科医师接受,但根据目前研究显示其是否降低吻合口并发症,能否确保肿瘤疗效及其中的内在原因等方面仍存在争议。本文拟对目前保留左结肠直肠癌根治术相关研究进展进行综述,以期术式的规范及认识。As one of the common gastrointestinal tumors, the incidence of rectal cancer is increasing year by year. Surgical treatment is still the main way to treat rectal cancer. Therefore, standardized and effective surgical treatment is the key to the treatment of rectal cancer, and the management of the inferior mesenteric artery is one of the key steps of low rectal cancer surgery. Preserving the left colic artery during radical resection of rectal carcinoma has been accepted by the majority of surgeons. However, according to current studies, whether preservation of LCA can reduce anas-tomotic complications and ensure tumor efficacy and its internal causes are still controversial. In this article, the current research progress of radical resection of left colorectal cancer was reviewed in order to standardize and cognize the surgical methods.

关 键 词：直肠癌 左结肠动脉 肠系膜下动脉 Riolan弓 吻合口瘘 

分 类 号：R735.37[医药卫生—肿瘤]