结直肠肛门外科2024，Vol.30Issue(2)：142-146,5.DOI:10.19668/j.cnki.issn1674-0491.2024.02.002
腹腔镜低位直肠癌手术全程膜解剖理论基础与操作难点
The oretical basis and operative difficulties of whole-course membrane anatomy in laparo-scopic low rectal cancer surgery
摘要
Abstract
Total mesorectal excision(TME)is the"golden standard"that must be followed in laparoscopic surgery for low rectal cancer.Adhering to the surgical concept of"membrane anatomy"is the foundation for achieving TME in low rectal cancer.Our team advocates the surgical separation of"whole-course membrane anatomy"for low rectal can-cer,with the surgical dissection always maintained in the"holy plane"between the visceral and parietal fasciae of the organs,which ensures the standardization and radicality of the surgery.Following the principle of"whole-course mem-brane anatomy"surgical separation can reduce intraoperative and postoperative complications and ensure the effect of tumor radical resection.This article discusses hotspots and difficulties such as the dissection of 253 lymph node groups,freedom of the splenic flexure of the colon,membrane anatomy and nerve protection in the perirectal space,extreme sphincter-preserving surgery for very low rectal cancer,and other surgical related issues that require special attention during surgery in laparoscopic low rectal cancer surgery.关键词
直肠癌/直肠全系膜切除/膜解剖Key words
rectal cancer/total mesorectal excision/membrane anatomy分类
医药卫生引用本文复制引用
施赟杰,王颢..腹腔镜低位直肠癌手术全程膜解剖理论基础与操作难点[J].结直肠肛门外科,2024,30(2):142-146,5.基金项目
上海申康医院发展中心第二轮《促进市级医院临床技能与临床创新三年行动计划》研究型医师创新转化能力培训项目(SHDC2023CRD023) （SHDC2023CRD023）
