CAJ | 학술논문

目的探讨完整结肠系膜切除在腹腔镜辅助右半结肠癌根治术中的应用.方法统计分析厦门大学附属中山医院胃肠外科2010年6月至2011年7月实施的36例腹腔镜辅助全右半结肠系膜切除术的手术方法和临床效果.结果 36例均顺利完成手术,无中转开腹.平均手术时间为(134 ±22) min;平均术中出血量为(95±53) ml;平均检出淋巴结15.7枚/例;术后排气时间平均为(3.1±1.2)d;术后并发症率为17％ (6/36),其中淋巴瘘4例,肺部感染1例,术后出血1例.结论腹腔镜辅助完整右半结肠系膜切除治疗右半结肠癌是安全有效的,可以达到系膜和淋巴组织切除的最大化.其远期疗效有待进一步观察.
목적 탐토완정결장계막절제재복강경보조우반결장암근치술중적응용.방법 통계분석하문대학부속중산의원위장외과2010년6월지2011년7월실시적36례복강경보조전우반결장계막절제술적수술방법화림상효과.결과 36례균순리완성수술,무중전개복.평균수술시간위(134 ±22) min;평균술중출혈량위(95±53) ml;평균검출림파결15.7매/례;술후배기시간평균위(3.1±1.2)d;술후병발증솔위17％ (6/36),기중림파루4례,폐부감염1례,술후출혈1례.결론 복강경보조완정우반결장계막절제치료우반결장암시안전유효적,가이체도계막화림파조직절제적최대화.기원기료효유대진일보관찰.
Objective To evaluate complete mesocolic excision in laparoscopy-assisted right hemicolon carcinoma radical resection. Methods Laparoscopy-assisted right hemicolon carcinoma radical resection with complete right-side mesocolic excision was performed in 36 cases between June 2010 and July 2011 at Zhongshan Hospital,Xiamen University. Results The operations were completed successfully without conversion to open surgery.The mean operative time was (134 ±22) min.The blood loss was (95 ±53 ) ml.The median number of total lymph nodes removed was 15.7.The average time for passage of flatus was (3.1 ± 1.2) d.The postoperative complications were observed in 6 of 36 cases (17％) including lymphatic fistulas in 4 patients,pulmonary infection in 1 patient and postoperative bleeding in 1 case.Conclusions Laparoscopy-assisted complete right-side mesocohc excision can be successfully performed for right hemicolon carcinoma,and the lymphoid tissue could be eliminated maximally.The long-term results need further evaluation.