完整结肠系膜切除术治疗结肠癌的探讨

Discussion of complete mesocolic excision treatment of colon cancer

目的探讨完整结肠系膜切除术(CME)治疗结肠癌的效果。方法对23例结肠癌患者行CME手术的临床资料进行分析。结果 23例患者,平均手术时间3.5 h,术中出血量150 ml,术后排气时间3.5 d,排便时间4.5 d,术后发生并发症发生率为8.7%,平均住院时间17.5 d;切缘距肿瘤的距离平均为14 cm;切除淋巴结数量平均为34枚。除2例高龄患者1年后因内科疾病死亡外,其余21例患者均健在,未发现局部复发和器官或淋巴结转移。结论 CME能使肿瘤所在肠管的切除长度和淋巴结清除数量达到最大化,更科学,更合理。是降低结肠癌术后局部复发率、提高生活质量的有效措施。

Objective To study the efficacy of the complete mesocolic excision in treating colon cancer. Methods 23 Results 23 patients,the average operation time was 3.5 h, intraoperatie blood loss was 150 ml,postoperative exhaust time was 3.5 d,defecation time was 4.5 d,the incidence of postoperative complications was 8.7%,the average hospital- ization time was 17.5 d;Cut edge away from the average distance of the tumor was 14 cm;Resection of lymph node number,the average was 34.Except for 2 cases of senile patients with 1 year by medical disease death,the rest of the 21 patients were alive,found no local recurrence or lymph node metastasis and organs. Conclusion CME can make the tu- mor＇s bowel resection to maximize the length and the number of lymph node removal,a more scientific and more rea- sonable.Is to reduce colon cancer postoperative local recurrence rate,the effective measures to improve the quality of life.