CAJ | 학술논문

目的：探讨完整结肠系膜切除（complete mesocolic excision，CME）在左半结肠癌根治术中的临床应用价值。方法回顾分析2011年1月至2013年10月期间48例CME左半结肠癌根治术及2009年1月至2010年12月间42例传统手术患者的临床资料，对比两组手术效果。结果CME组清扫淋巴结均数明显多于传统手术组，差异有统计学意义（22．31±2．60 vs 17．29±2．72， P＜0．0001），Ⅰ、Ⅱ、Ⅲ期患者淋巴结增加差异均有统计学意义。CME组Ⅲ期患者根部淋巴结转移率10．99％（10/91）。在手术时间、术中出血量、手术并发症和术后恢复等方面差异无统计学意义。结论 CME左半结肠癌根治术不增加手术风险，显著提高淋巴结清扫数量，具有安全性、可行性和有效性。
목적：탐토완정결장계막절제（complete mesocolic excision，CME）재좌반결장암근치술중적림상응용개치。방법회고분석2011년1월지2013년10월기간48례CME좌반결장암근치술급2009년1월지2010년12월간42례전통수술환자적림상자료，대비량조수술효과。결과CME조청소림파결균수명현다우전통수술조，차이유통계학의의（22．31±2．60 vs 17．29±2．72， P＜0．0001），Ⅰ、Ⅱ、Ⅲ기환자림파결증가차이균유통계학의의。CME조Ⅲ기환자근부림파결전이솔10．99％（10/91）。재수술시간、술중출혈량、수술병발증화술후회복등방면차이무통계학의의。결론 CME좌반결장암근치술불증가수술풍험，현저제고림파결청소수량，구유안전성、가행성화유효성。
Objective To evaluate the clinical value of complete mesocolic excision(CME)in the radical surgery for left-sided colon cancer.Methods The clinical data of 48 cases with CME and radical surgery for left-sided colon cancer from January 201 1 to October 2013 and 42 cases with traditional resec-tion from January 2009 to December 2010 were analyzed retrospectively.The surgical results were com-pared between groups.Results The number of dissected lymph nodes in CME group was significantly greater than that in the control group [(22.31 ±2.60)vs(17.29 ±2.72),P<0.0001].In patients with stageⅠ,ⅡandⅢ,the number of lymph nodes increased significantly(P<0.05 ).In patients with stageⅢ,the metastatic ratio of mesenteric lymph node was 10.99%(10/91)in CME group.There were no sig-nificant differences in mean operative time,intraoperative blood loss,complications and postoperative re-covery between the two groups.Conclusion In the radical surgery for left-sided colon cancer,CME could enhance the lymph nodes harvest,which does not increase the risk of operation.It is a safe,feasible and ef-ficacious method.