Pan Guofeng, Zhang Weihong, Huang Shiyu, Wu Jihuang, Chen Jian, Weng Jianbin, Zhu Zipeng, Guo Zhixing, Xu Yanchang
Department of Gastroenterological Surgery Unit 1, the Teaching Hospital of Putian First Hospital, Fujian Medical University, Putian, Fujian, China.
Department of gastroenterological surgery Unit 1, Putian First Hospital, The Affiliated Hospital of Putian University, Putian, Fujian, China.
Front Oncol. 2025 Jul 31;15:1614285. doi: 10.3389/fonc.2025.1614285. eCollection 2025.
This study aimed to explore the concept of sagittal anatomy in laparoscopic radical right hemicolectomy through the lens of membrane anatomy.
A retrospective study reviewed clinical records of 128 patients with right colon cancer who received laparoscopic radical right hemicolectomy at the Department of Gastrointestinal Surgery Unit 1, The First Hospital of Putian City, Fujian Province, between December 2020 and December 2022. Among the participants, 70 were male and 58 were female, with an average age of 62 years. All patients received standardized laparoscopic radical right hemicolectomy, following the principles of sagittal anatomy. The surgical technique comprised three steps: cephalic, caudal dorsal, and CVL+D3. Anatomical landmarks were exposed to ensure quality control for each surgical area. Intraoperative photographs were captured, and data on operation time, lymph node harvest, intraoperative blood loss, and postoperative outcomes were collected.
All laparoscopic procedures were successfully completed without the need for conversion to open surgery or the occurrence of intraoperative complications. Lymph node dissection was successfully performed in all patients, and specimens were examined pathologically. The average number of lymph nodes harvested, operation time, and intraoperative blood loss were 20.25 ± 3.23, 153.36 ± 11.49 minutes, and 42.15 ± 5.82 mL, respectively. All patients were diagnosed with adenocarcinoma based on pathological examination. The 3-year overall survival rate was 78.2%.
When viewed through the lenses of embryological development and membrane anatomy, the sagittal approach to laparoscopic radical right hemicolectomy proves to be both safe and feasible, contributing to a more standardized and regulated approach to the procedure.
本研究旨在通过膜解剖学视角探讨腹腔镜根治性右半结肠切除术矢状面解剖的概念。
一项回顾性研究回顾了2020年12月至2022年12月期间在福建省莆田市第一医院胃肠外科一病区接受腹腔镜根治性右半结肠切除术的128例右结肠癌患者的临床记录。参与者中，男性70例，女性58例，平均年龄62岁。所有患者均遵循矢状面解剖原则接受标准化腹腔镜根治性右半结肠切除术。手术技术包括三个步骤：头侧、尾侧背侧和CVL+D3。暴露解剖标志以确保每个手术区域的质量控制。拍摄术中照片，并收集手术时间、淋巴结清扫数量、术中出血量和术后结果的数据。
所有腹腔镜手术均成功完成，无需转为开放手术或发生术中并发症。所有患者均成功进行了淋巴结清扫，并对标本进行了病理检查。平均淋巴结清扫数量、手术时间和术中出血量分别为20.25±3.23个、153.36±11.49分钟和42.15±5.82毫升。所有患者经病理检查均诊断为腺癌。3年总生存率为78.2%。
从胚胎发育和膜解剖学角度来看，腹腔镜根治性右半结肠切除术的矢状面入路被证明是安全可行的，有助于使该手术方法更加标准化和规范化。
