多层螺旋CT血管成像在结肠癌腹腔镜手术的应用价值

Application Value of Multislice Spiral CT Angiography in Colon Cancer Laparoscopic Surgery

结肠癌腹腔镜手术已经逐步成为结肠癌外科治疗的常规手段。但是,一旦因对肿瘤周围血管的解剖关系把握不当而造成其损伤,就会引起术中不易控制的出血,腹腔镜微创手术可能因此而演变为开腹手术。结肠癌供血血管及周围血管关系复杂,并存在多种变异,故而需要一种安全、易行、准确的检查方法对结肠癌相关血管的走行及变异情况于术前进行准确的评价。该文就多层螺旋CT血管成像对于腹腔镜结肠癌手术的术前评估价值进行综述。

Laparoscopie surgery has gradually become the routine means of surgical treatment of colon cancer. Once the damage is eansed due to the improper treatment of the anatomical relationship of the blood vessels around tumors,it will cause difficulties to control bleeding in surgery,in which ease laparoseopic surgery may evolve into open surgery. The relationship between blood vessels supplying the colon and peripheral vessles is complex and there are plenty of variations, therefore a safe, easy, accurate way to cheek the course and varia- tion of colon cancer-related vascular is needed for aeeurate preoperative evaluation. Here is to make a review of the value of muhislice spiral CT angiography for laparoseopie eolon surgery preoperative assessment.