腹腔镜右半结肠癌根治术的焦点问题及协和经验

Key issues in laparoscopic surgery for right-sided colon cancer and the experience of Peking Union Medical College Hospital

腹腔镜右半结肠癌根治术的技术日趋成熟,但在一些关键步骤上仍有争议,包括淋巴结清扫范围、肠管切除范围、手术入路及吻合方式的选择等。新的保功能手术和经自然腔道手术进一步提升了手术微创性。笔者通过查阅国内外最新文献,结合笔者所在中心经验,阐述了腹腔镜右半结肠癌根治术目前的焦点问题。

The technique of laparoscopic radical right hemicolectomy is becoming mature,but there are still controversies on some key steps,including the extent of lymph node dissection,the scope of bowel resection,the choice of surgical access and anastomosis.The new function-preserving surgery and natural-orifice transluminal endoscopic surgery(NOTES)have further enhanced the minimally invasive nature of surgery.The author’s have reviewed the latest domestic and international literature,combined with the experience of the author’s center,and elaborated on the current focus issues of laparoscopic radical surgery for right-sided colon cancer.