结肠癌完整结肠系膜切除术52例疗效分析

Complete Mesocolic Excision for Treating Colonic Carcinoma： Analysis on the Therapeutic Effect of 52 Cases

为探讨完整结肠系膜切除术（CME）治疗结肠癌的临床疗效，对行CME治疗的52例结肠癌患者资料进行回顾性分析。结果显示，52例患者均顺利完成手术，中位手术时间为2．75h，中位术中出血量为130ml，中位清除淋巴结数为19枚；术后发生吻合口漏1例（1．9％），行结肠造口术；出院30d内无再人院和病死病例；术后随访1年，复发1例（1．9％）。结果表明，CME治疗结肠癌安全、可行，而且术后吻合口漏发生率及局部复发率低，是一种治疗结肠癌的理想术式。

In order to investigate the clinical effect of complete mesocolic excision（CME） in the treatment of colonic carcinoma, authors retrospectively analyzed the data of 52 colonic carcinoma patients who had been subjected to CME. As results,the 52 patients all received CME smoothly; medium time for operation was 2.75h, medium intraoperative bleeding volume was 130ml, medium number of removed lymph node was 19% postoperative anstomosis stoma leakage occured in 1 case（1.9%） afterward who received colostomy;within 30 days after discharged nobody was again admitted,and no died cases were found; a follow-up of 1 year found one case recurred （1.9%）. Results show that CME is an ideal procedure for treating colonic carcinoma because it is safe and feasible, and its incidence of anastomosis stoma leakage and local recurrence rate are all lower.