结肠脾曲癌之腹腔镜辅助左半结肠癌根治术

Laparoscopic assisted radical resection of left colon cancer located at splenic flexure

腹腔镜技术具有局部放大、清晰显像的功能,国内大部分微创中心在合理利用先进的腔镜器械及熟悉解剖结构基础上,重视新技术的发展及团队配合训练,百家争鸣,相互借鉴及学习,促进了国内腔镜技术的进步。近年来,腹腔镜左半结肠癌根治术的近远期疗效逐渐得到认可,完全结肠系膜切除(complete mesocolic excision,CME)原则在其中发挥着重要的作用。因左半结肠癌根治术解剖结构复杂、手术方案尚未形成共识,腹腔镜手术难度大,技术要求高,早期开展需慎重。

Laparoscopic technique has advantages of local amplification, clear imaging features.Most of the domestic minimally invasive centers are in the rational use of advanced endoscopic equipmentand familiar with the anatomic structure, they pay attention to new technology development and team coordination training, all schools of thoughts contend for attention, they learned from each other, andto promote the progress of the endoscopic techniques. In recent years, the long-term curative effect oflaparoscopic radical resection of left colon cancer has gradually been recognized, and the CME in the colonis playing an important role. Due to the left half colon cancer radical surgery involves complicated anatomy,the surgical plan has not yet formed a consensus, the difficulty of the laparoscopic surgery, high technicalrequirements, thus, early operation need to be careful.