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完整结肠系膜切除术中的系膜

The Mesentery in Complete Mesocolic Excision.

作者信息

Fletcher Jordan, Miskovic Danilo

机构信息

Department of Colorectal Surgery, St. Mark's Hospital, London, United Kingdom.

出版信息

Clin Colon Rectal Surg. 2022 Aug 10;35(4):288-297. doi: 10.1055/s-0042-1743430. eCollection 2022 Jul.

DOI:10.1055/s-0042-1743430
PMID:35966980
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9365457/
Abstract

The following article summarizes technical aspects of how to operate in the mesentery during complete mesocolic excision (CME). Increasingly, CME is being adopted and as such it is important to establish the anatomical basis of the techniques involved. This review thus serves to provide that foundation and explains the surgical techniques built on it.

摘要

以下文章总结了在完整结肠系膜切除术（CME）过程中在系膜内进行操作的技术要点。越来越多的人采用CME，因此确立相关技术的解剖学基础很重要。本综述旨在提供这一基础，并解释在此基础上建立的手术技术。

相似文献

1
The Mesentery in Complete Mesocolic Excision.完整结肠系膜切除术中的系膜
Clin Colon Rectal Surg. 2022 Aug 10;35(4):288-297. doi: 10.1055/s-0042-1743430. eCollection 2022 Jul.
2
[Anatomical structures relevant to complete mesocolic excision: mesentery, fascia and space].[与完整结肠系膜切除术相关的解剖结构：系膜、筋膜和间隙]
Zhonghua Wei Chang Wai Ke Za Zhi. 2016 Oct 25;19(10):1084-1087.
3
[Laparoscopic surgery for colorectal cancer: are we in the era of complete mesentery excision?].
Zhonghua Wei Chang Wai Ke Za Zhi. 2015 Aug;18(8):741-4.
4
Complete mesocolic excision and extended (D3) lymphadenectomy for colonic cancer: is it worth that extra effort? A review of the literature.结肠癌的完整结肠系膜切除术及扩大（D3）淋巴结清扫术：额外的努力值得吗？文献综述
Int J Colorectal Dis. 2016 Apr;31(4):797-804. doi: 10.1007/s00384-016-2502-0. Epub 2016 Jan 30.
5
An Optimal Approach for Laparoscopic D3 Lymphadenectomy Plus Complete Mesocolic Excision (D3+CME) for Right-Sided Colon Cancer.腹腔镜D3淋巴结清扫术联合完整结肠系膜切除术（D3+CME）治疗右半结肠癌的优化方法
Ann Surg Oncol. 2017 May;24(5):1312-1313. doi: 10.1245/s10434-016-5722-1. Epub 2016 Dec 19.
6
Mesenteric excision surgery or conservative limited resection in Crohn's disease: study protocol for an international, multicenter, randomized controlled trial.肠系膜切除术或克罗恩病的保守有限切除术：一项国际多中心随机对照试验的研究方案。
Trials. 2020 Feb 21;21(1):210. doi: 10.1186/s13063-020-4105-x.
7
Resectional surgery for malignant disease of abdominal digestive organs is not surgery of the organ itself, but also that of the mesenteric organ.腹部消化器官恶性疾病的切除术不仅是该器官本身的手术，也是肠系膜器官的手术。
Tech Coloproctol. 2020 Jul;24(7):757-760. doi: 10.1007/s10151-020-02197-7. Epub 2020 Apr 2.
8
[Laparoscopic Right Hemicolectomy with Complete Mesocolic Excision (CME)].腹腔镜右半结肠切除术伴完整结肠系膜切除术（CME）
Zentralbl Chir. 2020 Feb;145(1):17-23. doi: 10.1055/a-1024-4629. Epub 2019 Dec 2.
9
Minimally invasive complete mesocolic excision and central vascular ligation (CME/CVL) for right colon cancer.右半结肠癌的微创全结肠系膜切除及中央血管结扎术（CME/CVL）
J Gastrointest Oncol. 2020 Jun;11(3):491-499. doi: 10.21037/jgo.2019.11.08.
10
The retrocolic fascial system revisited for right hemicolectomy with complete mesocolic excision based on anatomical terminology: do we need the eponyms Toldt, Gerota, Fredet and Treitz?基于解剖学术语重新审视用于完整结肠系膜切除术的右半结肠切除术的结肠后筋膜系统：我们需要使用托尔特、杰罗塔、弗雷代和特赖茨这些人名命名的术语吗？
Colorectal Dis. 2023 Apr;25(4):764-774. doi: 10.1111/codi.16436. Epub 2022 Dec 11.

引用本文的文献

1
Can preoperative CT angiography and three-dimensional reconstruction of the mesenteric artery of the colon improve laparoscopic colectomy and postoperative rehabilitation in patients with colon cancer? A pilot randomized control study.术前结肠系膜动脉CT血管造影及三维重建能否改善结肠癌患者的腹腔镜结肠切除术及术后康复？一项前瞻性随机对照研究。
Int J Colorectal Dis. 2025 Aug 8;40(1):173. doi: 10.1007/s00384-025-04975-x.
2
Developing a phantom for simulating robotic-assisted complete mesocolic excision using 3D printing and medical imaging.使用 3D 打印和医学成像技术开发模拟机器人辅助完整结肠系膜切除术的体模。
BMC Surg. 2024 Feb 26;24(1):72. doi: 10.1186/s12893-024-02353-y.
3
Editorial: Blood vessel management in surgical oncology.社论：外科肿瘤学中的血管管理
Front Oncol. 2023 Mar 20;13:1180216. doi: 10.3389/fonc.2023.1180216. eCollection 2023.

本文引用的文献

1
Is complete mesocolic excision superior to conventional colectomy for colon cancer?对于结肠癌，完整结肠系膜切除术是否优于传统结肠切除术？
Lancet Oncol. 2021 Jul;22(7):917-918. doi: 10.1016/S1470-2045(21)00256-4.
2
Robotic right complete mesocolectomy with patient-specific three-dimensional modelling for planning and intra-operative navigation - a video vignette.
Colorectal Dis. 2021 Aug;23(8):2211-2212. doi: 10.1111/codi.15738. Epub 2021 Jul 27.
3
Complete mesocolic excision versus conventional surgery for colon cancer: A systematic review and meta-analysis.完整结肠系膜切除术与传统结肠癌手术的比较：系统评价和荟萃分析。
Colorectal Dis. 2021 Jul;23(7):1670-1686. doi: 10.1111/codi.15644. Epub 2021 May 14.
4
Short-term outcomes of complete mesocolic excision versus D2 dissection in patients undergoing laparoscopic colectomy for right colon cancer (RELARC): a randomised, controlled, phase 3, superiority trial.腹腔镜右半结肠癌根治术中完整结肠系膜切除术与 D2 淋巴结清扫术的短期疗效比较（RELARC）：一项随机、对照、III 期优效性临床试验
Lancet Oncol. 2021 Mar;22(3):391-401. doi: 10.1016/S1470-2045(20)30685-9. Epub 2021 Feb 12.
5
Short-term outcomes of a multicentre randomized clinical trial comparing D2 versus D3 lymph node dissection for colonic cancer (COLD trial).多中心随机临床试验比较结肠癌 D2 与 D3 淋巴结清扫术的短期结果（COLD 试验）。
Br J Surg. 2020 Apr;107(5):499-508. doi: 10.1002/bjs.11387. Epub 2019 Dec 24.
6
5-year outcome after complete mesocolic excision for right-sided colon cancer: a population-based cohort study.右侧结肠癌完整结肠系膜切除术的 5 年结果：基于人群的队列研究。
Lancet Oncol. 2019 Nov;20(11):1556-1565. doi: 10.1016/S1470-2045(19)30485-1. Epub 2019 Sep 13.
7
Impact of genetic mutations and nutritional status on the survival of patients with colorectal cancer.遗传突变和营养状况对结直肠癌患者生存的影响。
BMC Cancer. 2019 Jun 29;19(1):644. doi: 10.1186/s12885-019-5837-4.
8
Protocol for a multicentre randomized clinical trial comparing oncological outcomes of D2 D3 lymph node dissection in colonic cancer (COLD trial).多中心随机对照临床试验方案：比较结肠癌 D2 与 D3 淋巴结清扫术的肿瘤学结局（COLD 试验）。
BJS Open. 2019 Mar 14;3(3):288-298. doi: 10.1002/bjs5.50142. eCollection 2019 Jun.
9
The fusion fascia of Fredet: an important embryological landmark for complete mesocolic excision and D3-lymphadenectomy in right colon cancer.弗雷代融合筋膜：右半结肠癌完整结肠系膜切除和 D3 淋巴结清扫的重要胚胎学标志。
Surg Endosc. 2019 Nov;33(11):3842-3850. doi: 10.1007/s00464-019-06869-w. Epub 2019 May 28.
10
The Toldt fascia: A historic review and surgical implications in complete mesocolic excision for colon cancer.Toldt 筋膜：在结肠癌完整结肠系膜切除术中的历史回顾及手术意义。
Asian J Surg. 2019 Jan;42(1):1-5. doi: 10.1016/j.asjsur.2018.11.006. Epub 2018 Dec 3.