摘要
腹腔镜手术现已广泛应用于结肠癌的手术治疗,其中的腹腔镜右半结肠癌根治术是难度较大的术式,术中需结扎处理的血管较多,且相关血管存在较多变异。完成规范化的腹腔镜右半结肠切除术,还需对淋巴结清扫范围及完整结肠系膜切除术有充分认识。本文结合国内外文献及我科腹腔镜右半结肠癌根治术的多年经验,对腹腔镜右半结肠癌根治术所需掌握的相关外科解剖做简要综述,探讨淋巴结清扫范围,并介绍我科规范化的腹腔镜右半结肠切除术操作流程供同道参考。
Laparoscopic surgery has been commonly used in treating colon cancers. Laparoscopic right hemi-colectomy involved some of complicated operative procedures,including ligation of vessels with a lot of variations. To perform a standardized laparoscopic right hemi-colectomy, the extension of lymphadenectomy and the complete mesocolic excision should be mastered. This article aimed to summarize related reports and our experiences with laparoscopic right hemi-colectomy,review the knowledge about surgical anatomy,investigate the extension of lymphadenectomy,and briefly introduce the standardized laparoscopic procedures in our department.
出处
《中华普外科手术学杂志（电子版）》
2015年第1期7-10,共4页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
基金
卫生部国家临床重点专科建设资助项目(卫办医政函[2012]649号)~~
