腹腔镜横结肠癌根治术的技术要点和操作技巧

Skills and key points in radical resection of transverse colon cancer assisted by laparoscopy

随着微创外科的发展，腹腔镜在结直肠癌根治术中的可行性、安全性和根治性逐渐得到胃肠外科医师的认可。由于横结肠癌发病率低，且淋巴结清扫术野涉及胰、胃、脾、肾等重要器官，手术操作复杂，技术难度大，目前国内外针对腹腔镜横结肠癌根治术的手术要点和操作技巧的报道不多。2007年7月至2009年6月广东省人民医院对29例横结肠癌患者施行腹腔镜横结肠癌根治术治疗，探讨该术式的技术要点和操作技巧，以减少手术并发症发生率，缩短腹腔镜学习曲线。

The feasibility and safety of laparoseopic colorectal cancer resection have been gradually accepted as the fast development of minimally invasive surgery. However, there are few reports about the detailed skills and key points in the surgical techniques because of low incidenee of transverse colon cancer and involvement of pancreas, stomach, spleen and kid- ney. From July 2007 to June 2009, 29 patients with transverse colon cancer who were admitted to the People＇s Hospital of Guangdong Province received laparoseopie transverse colon cancer resection. The skills and key points were summarized in order to decrease the incidence of complications and shorten the laparo- scopic learning curve.