Wells Katerina O, Senagore Anthony
Department of Surgery, Baylor University Medical Center, 3409 Worth Street, Suite 640, Dallas, TX 75246, USA.
Department of Surgery, Western Michigan University, Homer Stryker School of Medicine, 1903 Western Michigan Avenue, Kalamazoo, MI 49008, USA.
Surg Oncol Clin N Am. 2019 Apr;28(2):285-296. doi: 10.1016/j.soc.2018.11.004. Epub 2018 Dec 26.
Colon cancer is the second leading cause of cancer death in the United States. Advances in surgical resection techniques, including minimally invasive colectomy, are becoming a standard of care. The oncologic principles of colectomy have included adequate lymphadenectomy, proximal ligation of primary vessels, and resection with adequate longitudinal margins. More recently, complete mesocolic excision has been advocated. Open and minimally invasive approaches must accomplish the same outcomes. This article focuses on the surgical principles of colon cancer, perioperative considerations, and technical aspects of minimally invasive colectomy. We review the current literature regarding oncologic and short-term outcomes of minimally invasive surgery.
结肠癌是美国癌症死亡的第二大主要原因。包括微创结肠切除术在内的手术切除技术的进步正成为一种标准治疗方法。结肠切除术的肿瘤学原则包括充分的淋巴结清扫、主要血管的近端结扎以及足够纵向切缘的切除。最近,有人提倡完整结肠系膜切除术。开放手术和微创手术方法必须取得相同的效果。本文重点关注结肠癌的手术原则、围手术期注意事项以及微创结肠切除术的技术方面。我们回顾了关于微创手术的肿瘤学和短期结果的当前文献。