局解手术学杂志2016，Vol.25Issue(7)：497-499,3.DOI:10.11659/jjssx.08E014044
腹腔镜右半结肠切除术中完整结肠系膜切除的解剖学观察
Anatomical observation of complete mesocolic excision during laparoscopic right hemicolectomy
刘晓平 1曾祥福 1邓伟 1李剑2
作者信息
- 1. 赣南医学院第一附属医院胃肠外科，江西 赣州341000
- 2. 赣南医学院解剖学教研室，江西 赣州 341000
- 折叠
摘要
Abstract
Objective To explore regional anatomical features of fascia and spaces related to complete mesocolic excision (CME)dur-ing laparoscopic right hemicolectomy.Methods Observe and describe the regional anatomical features of related mesenterium,fascia and spaces through autopsy and somatoscopy.Results Superior mesenteric vein is the anatomic landmark in CME with medial access for laparo-scopic right hemicolectomy.Right mesocolon and ileal mesentery are the main mesenterium,and the fascia contains the prerenal fascia and the pancreatic fascia.The right retrocolic space and the colon transversum space are two important anatomical spaces,and their fusion fascia space served as a natural surgical plane.Conclusion There is a natural surgical plane which made of mesenterium,fascia and spaces be-tween mesocolon and prerenal fascia in CME during laparoscopic right hemicolectomy,and the surgery is feasible.关键词
腹腔镜右半结肠切除术/完整结肠系膜切除/筋膜/解剖Key words
laparoscopic right hemicolectomy/complete mesocolic excision/fascia/anatomy分类
医药卫生引用本文复制引用
刘晓平,曾祥福,邓伟,李剑..腹腔镜右半结肠切除术中完整结肠系膜切除的解剖学观察[J].局解手术学杂志,2016,25(7):497-499,3.
