中华外科杂志
中華外科雜誌
중화외과잡지
CHINESE JOURNAL OF SURGERY
2012年
3期
215-218
,共4页
李炳根%聂向阳%何永忠%谢惠华%余国忠%杜汉朋%孔凡东%龚独辉%林伟斌%吴铭键
李炳根%聶嚮暘%何永忠%謝惠華%餘國忠%杜漢朋%孔凡東%龔獨輝%林偉斌%吳銘鍵
리병근%섭향양%하영충%사혜화%여국충%두한붕%공범동%공독휘%림위빈%오명건
结肠肿瘤%腹腔镜检查%结肠系膜
結腸腫瘤%腹腔鏡檢查%結腸繫膜
결장종류%복강경검사%결장계막
Colonic neoplasms%Laparoscopy%Mesocolon
目的 探讨结肠系膜完整切除(CME)概念规范下的腹腔镜右半结肠癌根治术的可行性.方法 2010年2月至2011年6月,对14例右半结肠癌患者施行CME概念规范下的腹腔镜右半结肠癌根治术,男性10例,女性4例；年龄36～74岁,平均57岁.TMN分期ⅡA期2例、ⅡB期3例、ⅢA期3例、ⅢB期5例、ⅢC期1例.术后病理均为腺癌.结果 全组患者均成功施行手术,无中转开腹,手术时间127～221 min,平均(178 ±37)min,术中出血量30 ～ 110 ml,平均(67±23) ml,淋巴结清扫总数14～31枚,平均(21±7)枚,术后住院时间7～15d,平均(10.0 ±2.2)d.术后2例患者出现并发症,无手术后死亡.全组患者术后随访3 ～19个月,未发现肿瘤复发或转移.结论 CME概念规范下的腹腔镜右半结肠癌根治术是安全可行的.
目的 探討結腸繫膜完整切除(CME)概唸規範下的腹腔鏡右半結腸癌根治術的可行性.方法 2010年2月至2011年6月,對14例右半結腸癌患者施行CME概唸規範下的腹腔鏡右半結腸癌根治術,男性10例,女性4例；年齡36～74歲,平均57歲.TMN分期ⅡA期2例、ⅡB期3例、ⅢA期3例、ⅢB期5例、ⅢC期1例.術後病理均為腺癌.結果 全組患者均成功施行手術,無中轉開腹,手術時間127～221 min,平均(178 ±37)min,術中齣血量30 ～ 110 ml,平均(67±23) ml,淋巴結清掃總數14～31枚,平均(21±7)枚,術後住院時間7～15d,平均(10.0 ±2.2)d.術後2例患者齣現併髮癥,無手術後死亡.全組患者術後隨訪3 ～19箇月,未髮現腫瘤複髮或轉移.結論 CME概唸規範下的腹腔鏡右半結腸癌根治術是安全可行的.
목적 탐토결장계막완정절제(CME)개념규범하적복강경우반결장암근치술적가행성.방법 2010년2월지2011년6월,대14례우반결장암환자시행CME개념규범하적복강경우반결장암근치술,남성10례,녀성4례；년령36～74세,평균57세.TMN분기ⅡA기2례、ⅡB기3례、ⅢA기3례、ⅢB기5례、ⅢC기1례.술후병리균위선암.결과 전조환자균성공시행수술,무중전개복,수술시간127～221 min,평균(178 ±37)min,술중출혈량30 ～ 110 ml,평균(67±23) ml,림파결청소총수14～31매,평균(21±7)매,술후주원시간7～15d,평균(10.0 ±2.2)d.술후2례환자출현병발증,무수술후사망.전조환자술후수방3 ～19개월,미발현종류복발혹전이.결론 CME개념규범하적복강경우반결장암근치술시안전가행적.
Objective To explore the feasibility of laparoscopic-assisted radical right hemicolectomy with the outcome being a complete mesocolic excision (CME).Methods Between February 2010 and June 2011,we performed the standardized surgery of laparoscopic-assisted radical right hemicolectomy with an aim of CME on 14 patients.There were 10 males and 4 females,with an average age of 57 years ( range 36 to 74 years).All the pathologic results in 14 cases were primary colonic adenocarcinoma.The TNM stages were distributed as follows:2 in ⅡA,3 in ⅡB,3 in ⅢA,5 in ⅢB and 1 in ⅢC.Results Surgery wassuccessfully performed for all patients without open conversion.The average operation time was ( 178,± 37 ) minutes (range 127 to 221 minutes),average intraoperative blood loss was (67 ± 23 ) ml (range 30 to 110 ml),while the average number of lymph node harvest was 21 ± 7 (range 14 to 31 ),and the postoperative hospital stay was ( 10.0 ± 2.2) days (range 7 to 15 days).Minor complications occured in 2 patients.Major complications and post-operative mortality were not observed.All the patients were followed up for 3 to 19 months,no tumor recurrence or metastasis was identified. Conclusion The standardized surgery of laparoscopic-assisted radical right hemicolectomy with the final outcome of CME is safe and feasible.
