He L, Chen Y, Wang Q
Department of Gastrointestinal Surgery, the First Hospital, Jilin University, Changchun, Jilin 130021, China.
Zhonghua Wei Chang Wai Ke Za Zhi. 2020 Nov 25;23(11):1110-1112. doi: 10.3760/cma.j.issn.441530-20200120-00032.
Laparoscopic left colectomy (LLC) has been widely performed for treating patients with left hemicolon cancer. For less invasion, totally laparoscopic left colectomy intracorporeal anastomosis (TLC/IA) has been increasingly attempted and proposed. Up to now, there is no standard for intracorporeal anastomosis. Authors list various types of intracorporeal anastomosis in terms of technical details and postoperative complications. According to the literatures, side to side anastomosis with linear laparoscopic stapler is the mainstream method. Surgeons should make flexible choices based on personal technical characteristics, colon conditions and objective economic conditions of patients. An individualized anastomosis method is acceptable.
腹腔镜左半结肠切除术(LLC)已被广泛用于治疗左半结肠癌患者。为了减少侵袭,完全腹腔镜左半结肠切除术体内吻合术(TLC/IA)已被越来越多地尝试和提出。到目前为止,体内吻合术尚无标准。作者根据技术细节和术后并发症列出了各种类型的体内吻合术。根据文献,使用线性腹腔镜吻合器进行侧侧吻合是主流方法。外科医生应根据个人技术特点、结肠情况和患者的客观经济条件做出灵活选择。个体化的吻合方法是可以接受的。