Su Chen, Hong Xuehui, Qiu Xingfeng
Department of Gastrointestinal Surgery, Zhongshan Hospital of Xiamen University, Xiamen 361004, China.
J Vis Surg. 2017 Mar 15;3:28. doi: 10.21037/jovs.2017.02.10. eCollection 2017.
There aren't any standardized ways of controlling operating, although laparoscopic-assisted right-hemi colon cancer complete mesocolic excision (LR-CME), has been widely applied used in China and abroad. Hohenberger gave a new concept that treating complete mesocolic excision (CME) as a colon cancer standard operation for the first time in 2009. And the LR-CME that based on the anatomy of the vascular and level coincide with the concept. One case, male, 69 years old. LR-CME was performed in our department. Following we will introduce correlation experiences and skills of LR-CME. It took about 110 minutes to finish the whole operation with bleeding of about 20 mL. This case recovers well postoperation without any significant complication and discharged from hospital on the 10th day.
目前尚无控制手术操作的标准化方法，尽管腹腔镜辅助右半结肠癌完整系膜切除术（LR-CME）已在国内外广泛应用。2009年，霍恩伯格首次提出将完整系膜切除术（CME）作为结肠癌标准手术的新概念。而基于血管解剖和层面的LR-CME与该概念相符。1例患者，男性，69岁。在我科进行了LR-CME手术。接下来我们将介绍LR-CME的相关经验和技巧。整个手术耗时约110分钟，出血约20毫升。该病例术后恢复良好，无任何明显并发症，于第10天出院。
