Department of Colorectal Surgery, Singapore General Hospital, Singapore, 169608, Singapore.
Division of Colorectal Surgery, Philippine General Hospital, University of the Philippines , Manila, Philippines.
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。
