腹腔镜下 D3 右半结肠切除术伴腔内吻合术。
Laparoscopic D3 right hemicolectomy with intracorporeal anastomosis.
机构信息
Department of Colorectal Surgery, Singapore General Hospital, Singapore, 169608, Singapore.
Division of Colorectal Surgery, Philippine General Hospital, University of the Philippines , Manila, Philippines.
出版信息
Tech Coloproctol. 2024 Aug 2;28(1):92. doi: 10.1007/s10151-024-02965-9.
Complete mesocolic excision (CME) with D3 lymphadenectomy for colon cancer has been shown to improve overall as well as disease-free survival compared to conventional right hemicolectomy. Performing a laparoscopic CME/D3 right hemicolectomy with intracorporeal anastomosis (ICA) can be technically demanding even for experienced operators. Here, we present a systematic, standardized approach to the surgery.
与传统的右半结肠切除术相比，完整结肠系膜切除术（CME）联合 D3 淋巴结清扫术治疗结肠癌可提高总生存率和无病生存率。即使对于经验丰富的术者，实施腹腔镜 CME/D3 右半结肠切除术联合腔内吻合术（ICA）也具有一定的技术难度。在此，我们提出一种系统的、标准化的手术方法。
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