腹腔镜结直肠癌手术治疗癌症：完整结肠系膜切除术和脾曲游离的作用是什么？
Laparoscopic Colorectal Surgery for Cancer: What Is the Role of Complete Mesocolic Excision and Splenic Flexure Mobilization?
作者信息
Vecchio Rosario, Marchese Salvatore, Intagliata Eva
机构信息
Department of Surgery, University of Catania, Policlinico-Vittorio Emanuele University Hospital, Catania, Italy.
出版信息
Indian J Surg. 2017 Aug;79(4):338-343. doi: 10.1007/s12262-017-1631-1. Epub 2017 Apr 9.
Abstract
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.
摘要
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。
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2
How much colonic redundancy could be obtained by splenic flexure mobilization in laparoscopic anterior or low anterior resection?在腹腔镜前切除术或低位前切除术中，通过脾曲游离可获得多少结肠冗长？
Int J Med Sci. 2014 Jun 9;11(9):857-62. doi: 10.7150/ijms.8874. eCollection 2014.
3
Laparoscopic splenectomy coupled with laparoscopic cholecystectomy.腹腔镜脾切除术联合腹腔镜胆囊切除术。
JSLS. 2014 Apr-Jun;18(2):252-7. doi: 10.4293/108680813X13693422518434.
4
The mesocolon: a histological and electron microscopic characterization of the mesenteric attachment of the colon prior to and after surgical mobilization.结肠系膜：手术游离前后结肠系膜附着处的组织学和电子显微镜特征
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