结肠癌全结肠系膜切除术研究进展

从结肠的胚胎发育解剖学角度指导完整结肠系膜切除手术,可减少出血量和术中肿瘤播散,增加清扫淋巴结的数量,且不增加术后并发症发生率,可改善预后,降低局部复发率.结肠癌手术的规范化、科学化是发展的趋势,完整结肠系膜切除符合精细外科的要求在未来发展的方向,有可能成为一种新的规范化手术.为了解完整结肠系膜切除术在操作要点、适应证及其在腹腔镜下手术等研究进展,该研究收集国内外有关结肠癌完整结肠系膜切除的临床和基础研究文献进行综述.

Research progress of application of complete mesocolic excision in treating colon cancer

The complete mesocolic excision (CME) guides the operation from colon embryonic development anatomy angle,which could reduce the amount of bleeding and intra-operative tumor spread,and increase the number of lymph node eliminated without increasing the risk of complications,at the same time it could improve prognosis and lower local recurrence rates.The standardization and science of colon cancer surgery is the trend of development,and the complete mesocolic excision (CME) is in accordance with the requirements of fine surgical operation.In the future,this technique may become a new standardized surgery.To learn about the research progress of main operating points of surgery,Clinical indications and operation under the laparoscope in recent years,this paper collected and reviewed both domestic and overseas literatures on clinical application and basic research about CME.