腹腔镜外科杂志2016，Vol.21Issue(10)：742-745,4.DOI:10.13499/j.cnki.fqjwkzz.2016.10.742
中间入路法腹腔镜右半结肠癌根治术55例临床体会
The clinical investigation of laparoscopic radical right hemicolectomy in medial-to-lateral approach:a report of 55 cases
史建中 1钱山青 1孙卫东 1王家兴 1陈啸 1姚彪 1万焕真 2吴卫东3
作者信息
- 1. 扬州市中医院，江苏 扬州，225000
- 2. 上海闵行区中心医院
- 3. 新疆伊犁自治州新源县中医院
- 折叠
摘要
Abstract
Objective:To explore the technique and effect of laparoscopic radical right hemicolectomy in medial-to-lateral ap-proach.Methods:The clinical data of 55 patients with right colon cancer from Jan.2008 to Jan.2013 were retrospectively analyzed.Il-eocolonic vessel was initial approach marker and superior mesenteric vein was anatomic marker,the right surgical plane was established for anatomy of mesenteric vessels and dissection of lymph nodes.Results:Fifty-four cases of laparoscopic-assisted radical right hemico-lectomy were successfully completed,one case was converted to open surgery (1.82%).The average operation time was (113.5 ± 13.8) min and the intraoperative blood loss was (75.2 ±16.5) ml,length of resected specimen was (15.4 ±5.26) cm.The total number of removed lymph nodes was (16 ±3).The average time for exhaust,eating liquid food and hospital stay was (3.5 ±1.8) d, (3.2 ±0.85) d,(9.75 ±1.5) d respectively.No injury of the superior mesenteric vein,duodenum,ureter or genital vessels occurred. No complications were found such as incisional infection,anastomotic leakage,intra-abdominal abscess.The 55 patients were followed up for 10 to 40 months with a mean of (25.5 ±2.3) months,no anastomotic recurrence,implantation or metastasis at the puncture site or assisted incision,distant metastasis.Conclusions:The medial-to-lateral approach with the ileocolonic blood vessels as a surgical mark is quicker and more accurate to enter the Toldt gap and pancreatic duodenal anterior fascia gap.The procedure is safe and guarantees the radical cure of the tumor with high clinical value.关键词
结肠肿瘤/右半结肠癌根治术/腹腔镜检查/中间入路法Key words
Colonic neoplasms/Radical right hemicolectomy/Laparoscopy/Intermediate approach分类
医药卫生引用本文复制引用
史建中,钱山青,孙卫东,王家兴,陈啸,姚彪,万焕真,吴卫东..中间入路法腹腔镜右半结肠癌根治术55例临床体会[J].腹腔镜外科杂志,2016,21(10):742-745,4.
