中华消化外科杂志
中華消化外科雜誌
중화소화외과잡지
CHINESE JOURNAL OF DIGESTIVE SURGERY
2013年
6期
443-446
,共4页
李慧诚%刘习红%王希%李文煜%冯丽光%肖凌晖%王骅%曾惠明
李慧誠%劉習紅%王希%李文煜%馮麗光%肖凌暉%王驊%曾惠明
리혜성%류습홍%왕희%리문욱%풍려광%초릉휘%왕화%증혜명
结直肠肿瘤,同时性%多发肿瘤%腹腔镜检查
結直腸腫瘤,同時性%多髮腫瘤%腹腔鏡檢查
결직장종류,동시성%다발종류%복강경검사
Colorectal neoplasms,synchronous%Multiple neoplasms%Laparoscopy
同时性多原发结直肠癌(SCC)临床较少见,其发病率呈上升趋势,目前无固定外科手术模式,需根据肿瘤的位置、范围、间距及患者的综合情况等决定.全直肠系膜切除术(TME)及完整结肠系膜切除术(CME)已被公认为是直肠癌及结肠癌的标准化手术方式.2010年8月至2013年5月惠州市第一人民医院运用腹腔镜技术结合TME及CME手术技术,开展了3例腹腔镜SCC根治术,总结出默契的团队配合、精准的手术平面把握、熟练的血管裸化技术及完整的结直肠系膜切除是手术成功的保障,腹腔镜SCC根治术安全可行.
同時性多原髮結直腸癌(SCC)臨床較少見,其髮病率呈上升趨勢,目前無固定外科手術模式,需根據腫瘤的位置、範圍、間距及患者的綜閤情況等決定.全直腸繫膜切除術(TME)及完整結腸繫膜切除術(CME)已被公認為是直腸癌及結腸癌的標準化手術方式.2010年8月至2013年5月惠州市第一人民醫院運用腹腔鏡技術結閤TME及CME手術技術,開展瞭3例腹腔鏡SCC根治術,總結齣默契的糰隊配閤、精準的手術平麵把握、熟練的血管裸化技術及完整的結直腸繫膜切除是手術成功的保障,腹腔鏡SCC根治術安全可行.
동시성다원발결직장암(SCC)림상교소견,기발병솔정상승추세,목전무고정외과수술모식,수근거종류적위치、범위、간거급환자적종합정황등결정.전직장계막절제술(TME)급완정결장계막절제술(CME)이피공인위시직장암급결장암적표준화수술방식.2010년8월지2013년5월혜주시제일인민의원운용복강경기술결합TME급CME수술기술,개전료3례복강경SCC근치술,총결출묵계적단대배합、정준적수술평면파악、숙련적혈관라화기술급완정적결직장계막절제시수술성공적보장,복강경SCC근치술안전가행.
Synchronous multiple primary colorectal carcinoma (SCC) is rarely seen in the clinical practice,while it has a increasing tendency of incidence.The surgical treatment of SCC has not been normalized.The extent of resection should be individually determined according to the lesion location,range,the distance of lesions and the general condition of the patients.Total mesorectal excision (TME) and complete mesocolic excision (CME) were recognized as the standardized surgical treatment for SCC.From August 2010 to May 2013,3 patients with SCC received laparoscopic radical resection for SCC at the Huizhou First People's Hospital.Based on the clinical practice,we concluded that having a tacit teamwork,grasping the precise surgical plane,using skilled technology of dissecting blood vessel and excising the total mesentery of colorectum are guarantees for successful operation.Laparoscopic colectomy for SCC is feasible and safe.