Tsar'kov P V, Kravchenko A Iu, Tulina I A, Bashankaev B N, Samofalova O Iu
Khirurgiia (Mosk). 2012(7):41-8.
43 patients with sigmoid cancer stage I--III were operated on. The mean operative time was 206.2±73.0 min, considering the sceletonization of the lower mesenteric artery together with the paraaortic lymphadenectomy took 28±9 min. The long-term follow-up was performed in all the patients. The median follow-up time was 39.35±13.1 months. 4 patients had died, 3 of them because of the cancer progression. The paraaortic lymphadenectomy with the lower mesenteric artery sceletonization is now considered to be the method of choice in treatment of sigmoid cancer. The operation is reasonably safe considering the rate of intra- and postoperative complication rate.
43例I - III期乙状结肠癌患者接受了手术。平均手术时间为206.2±73.0分钟，其中肠系膜下动脉骨骼化联合主动脉旁淋巴结清扫用时28±9分钟。所有患者均进行了长期随访。中位随访时间为39.35±13.1个月。4例患者死亡，其中3例死于癌症进展。肠系膜下动脉骨骼化联合主动脉旁淋巴结清扫目前被认为是乙状结肠癌治疗的首选方法。考虑到术中和术后并发症发生率，该手术相当安全。
