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结肠癌完整结肠系膜切除——规范化质量控制手术的趋势

叶颖江 Hohenberger W 王杉

中国实用外科杂志2011,Vol.31Issue(6):470-472,3.
中国实用外科杂志2011,Vol.31Issue(6):470-472,3.

结肠癌完整结肠系膜切除——规范化质量控制手术的趋势

Complete mesocolic excision: a new trend of standardization of colon cancer surgery with high quality

叶颖江 1Hohenberger W 2王杉1

作者信息

  • 1. 北京大学人民医院胃肠外科,北京,100044
  • 2. Department of Surgery University Hospital, Erlangen D-91054, Germany
  • 折叠

摘要

Abstract

Total mesorectal excision has become the most widely standardization surgical technique of rectal cancer in the world, but it is still lack of standardized operation for colon cancer. Complete mesocohc excision as a new concept in colon cancer surgery was first proposed by professor Hohenberger from German, which corresponded to the feature of the tumor and was based on the embryology and anatomy. Some research about complete mesocolic excision showed that the procedure could improve the prognosis, decrease the local recurrence of the tumor without more complication. The key points of complete mesocolic excision are as below: dissecting sharply between the visceral fascia and parietal fascia, highly ligaturing the supplying vessel, guaranteeing the reasonable lymphadenectomy areas. Complete mesocolic excision might become a new standardized operation of colorectal cancer based on the random prospective clinical trial in multiple centers.

关键词

完整结肠系膜切除/结肠癌

Key words

complete mesocolic excision/ colon cancer

分类

医药卫生

引用本文复制引用

叶颖江,Hohenberger W,王杉..结肠癌完整结肠系膜切除——规范化质量控制手术的趋势[J].中国实用外科杂志,2011,31(6):470-472,3.

中国实用外科杂志

OA北大核心CSCDCSTPCD

1005-2208

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