Vecchio Rosario, Marchese Salvatore, Intagliata Eva
Department of Surgery, University of Catania, Policlinico-Vittorio Emanuele University Hospital, Catania, Italy.
Indian J Surg. 2017 Aug;79(4):338-343. doi: 10.1007/s12262-017-1631-1. Epub 2017 Apr 9.
Laparoscopic colorectal surgery for cancer is nowadays routinely performed worldwide. After the introduction by Heald of total mesorectal excision for rectal cancer, also a complete mesocolic excision has been advocated as an essential surgical step to improve oncologic results in patients with colon cancer. The complete removal of mesocolon with high ligation of the main mesenteric arteries and veins and the mobilization of splenic flexure are well-known but still debated in western surgical society. The authors reviewed the literature and outlined the rationale and the results of splenic flexure mobilization and complete mesocolic excision in laparoscopic surgery for colorectal cancer.
如今，腹腔镜结直肠癌手术在全球范围内已常规开展。继希尔德引入直肠癌全直肠系膜切除术后，完整结肠系膜切除术也被提倡作为改善结肠癌患者肿瘤学疗效的关键手术步骤。完整切除结肠系膜、高位结扎肠系膜主要动静脉以及游离脾曲虽广为人知，但在西方外科学界仍存在争议。作者回顾了相关文献，并概述了腹腔镜结直肠癌手术中游离脾曲及完整结肠系膜切除的理论依据和结果。
