当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2014年
1期
109-110
,共2页
周智群%黄鹏%陈楷敏%刘汉武
週智群%黃鵬%陳楷敏%劉漢武
주지군%황붕%진해민%류한무
结肠肿瘤%腹膜后外科平面%结肠切除术
結腸腫瘤%腹膜後外科平麵%結腸切除術
결장종류%복막후외과평면%결장절제술
Colon tumor%Retroperitoneal surgical plane%Colon resection
目的总结腹膜后外科层面的解剖特点在右半结肠癌根治切除术中的临床应用。方法选取2008年1月-2012年12月32例进展期右半结肠癌根治术的结果进行观察分析。结果围手术期无死亡病例,全部病例术中无1例副损伤。肝转移3例,局部复发2例。结论以融合筋膜间隙为主要外科平面,血管解剖明确、淋巴清扫彻底、外科平面清晰的手术方式值得在基层医院临床推广。
目的總結腹膜後外科層麵的解剖特點在右半結腸癌根治切除術中的臨床應用。方法選取2008年1月-2012年12月32例進展期右半結腸癌根治術的結果進行觀察分析。結果圍手術期無死亡病例,全部病例術中無1例副損傷。肝轉移3例,跼部複髮2例。結論以融閤觔膜間隙為主要外科平麵,血管解剖明確、淋巴清掃徹底、外科平麵清晰的手術方式值得在基層醫院臨床推廣。
목적총결복막후외과층면적해부특점재우반결장암근치절제술중적림상응용。방법선취2008년1월-2012년12월32례진전기우반결장암근치술적결과진행관찰분석。결과위수술기무사망병례,전부병례술중무1례부손상。간전이3례,국부복발2례。결론이융합근막간극위주요외과평면,혈관해부명학、림파청소철저、외과평면청석적수술방식치득재기층의원림상추엄。
Objective To summarize retroperitoneal surgical aspects of anatomical features in the clinical application of resection of the right half colon cancer effect a radical cure. Methods To observe and analyze the hospital from January 2008 to December 2012, 32 cases of radical resection of advanced colorectal cancer results. Results No patient died during the operation period;there were no side injury in all patients. But 3 cases of liver metastasis, local recurrence in 2 cases. Conclusion The fusion fascia space as the main surgical plane, vascular anatomy, and lymphatic clear clean thoroughly, clear surgical plane operation method is worth clinical popularizing in basic-level hospitals.