Vecchio Rosario, Intagliata Eva, Basile Francesco, La Corte Francesco, Marchese Salvatore
Ann Ital Chir. 2016;87:601-607.
Laparoscopic colorectal surgery for cancer is nowadays performed in several referral centers and has been gaining increasing interest for treatment of colo-rectal cancer. After the introduction of complete mesorectal excision for rectal cancer, complete mesocolic excision has been advocated as an essential surgical step to improve oncologic results for patients with colon cancer. Complete mesocolic excision is a crucial step of hemicolectomy, and consists in the total removal of the mesocolon and its lymph nodes with high ligation of main mesenteric arteries and veins. In laparoscopic surgery, magnification of the images and gas dissection might probably improve the precision and safety of this surgical step. In this paper, the Authors reviewed the Literature and discussed on the feasibility and accuracy of complete mesocolic excision performed during laparoscopic left colectomy for cancer in a preliminary series.
Colic lymph nodes, Laparoscopic left hemicolectomy, Mesocolon excision.
如今，腹腔镜结直肠癌手术在多个转诊中心开展，并且在结直肠癌治疗方面越来越受到关注。在引入直肠癌全直肠系膜切除术后，完整结肠系膜切除术已被提倡作为改善结肠癌患者肿瘤学结局的关键手术步骤。完整结肠系膜切除术是半结肠切除术的关键步骤，包括完整切除结肠系膜及其淋巴结，并高位结扎肠系膜主要动静脉。在腹腔镜手术中，图像放大和气体分离可能会提高这一手术步骤的精确性和安全性。在本文中，作者回顾了文献，并在一个初步系列研究中讨论了腹腔镜左半结肠癌切除术期间进行完整结肠系膜切除的可行性和准确性。
结肠淋巴结；腹腔镜左半结肠切除术；结肠系膜切除
