中国实用外科杂志2011，Vol.31Issue(6)：494-496,3.
完整结肠系膜切除在结肠癌手术治疗中的应用
Complete mesocolic excision for colon caner
叶颖江 1高志冬 1王杉 1尹慕军 1杨晓东 1梁斌 1姜可伟 1董令仪1
作者信息
- 1. 北京大学人民医院胃肠外科,北京,100044
- 折叠
摘要
Abstract
Objective To investigate the therapeutic effect of complete mesocolic excision (CME) for colon cancer.Methods The data of 31 cases of colon cancer without metastasis and intestinal obstruction performed elective CME by the same group of surgeons between November 1, 2009 and January 31, 2011 at Beijing University People's Hospital were analyzed retrospectively. Results Among the 31 cases with CME, the median number of total lymph nodes retrieved was 19. Four (26.67％) cases of stage Ⅲ had the positive lymph nodes in or over mesenteric root. The median operation time of all cases was 2.75 hours. The volume of intraoperative blood loss was 100 mL. The overall postoperative morbidity rate was 12.9％ (4/31). The median time of exhaust and defecation was 4 days and 6 days respectively. The median hospital stay was 19.5 days. The median 30-day hospital readmission and postoperative mortality was none.Conclusion By complete mesocolic excision, the integrated radical resection for colon cancer could be completed successfully. The mesentery and lymphoid tissue could be eliminated maximally without more surgical risk. The intraoperative blood loss of CME is less than that of traditional resection. CME could achieve good short-term outcomes and does not affect the rehabilitation. But the effect of long term should be followed up.关键词
完整结肠系膜切除/结肠癌/规范化手术Key words
complete mesocolic excision/ colon cancer/ standardization operation分类
医药卫生引用本文复制引用
叶颖江,高志冬,王杉,尹慕军,杨晓东,梁斌,姜可伟,董令仪..完整结肠系膜切除在结肠癌手术治疗中的应用[J].中国实用外科杂志,2011,31(6):494-496,3.
