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中华普外科手术学杂志(电子版)

中华普外科手术学杂志(电子版) ›› 2018, Vol. 12 ›› Issue (01) : 5 -8. doi: 10.3877/cma.j.issn.1674-3946.2018.01.002

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腹腔镜直肠癌侧方淋巴节结清扫技巧及疗效评价
所剑1,†(), 国瑀辰1, 李伟1   
  1. 1. 130021　吉林大学第一医院，胃结直肠肛门外科
  • 收稿日期:2017-12-31 出版日期:2018-02-26
  • 通信作者: 所剑

Clinical investigation of surgical skills and therapeutic efficacy of lateral lymph node dissection in laparoscopic rectal cancer surgery

Jian Suo1,†(), Yuchen Guo1, Wei Li1   

  1. 1. Department of Gastrointestinal Surgery, First Hospital of Jilin University, 130021, China
  • Received:2017-12-31 Published:2018-02-26
  • Corresponding author: Jian Suo
  • About author:
    Corresponding Author: Suo Jian, Email:
  • Supported by:
    Foundation of Jilin provincial science and Technology Department(No.20170622010JC); Foundation of Jilin provincial science and Technology Department(No.20160101136JC); Foundation of Jilin provincial development and Reform Commission(No.2016C040-1); National Natural Science Fund of China(No.81372295)
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所剑, 国瑀辰, 李伟. 腹腔镜直肠癌侧方淋巴节结清扫技巧及疗效评价[J/OL]. 中华普外科手术学杂志(电子版), 2018, 12(01): 5-8.

Jian Suo, Yuchen Guo, Wei Li. Clinical investigation of surgical skills and therapeutic efficacy of lateral lymph node dissection in laparoscopic rectal cancer surgery[J/OL]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2018, 12(01): 5-8.

低位直肠癌的侧方淋巴结清扫难度较高，副损伤较大，术后并发症较多。充分掌握直肠周围的神经解剖，并具备良好的侧方淋巴结清扫思路和清扫技巧，是保留自主神经的直肠癌侧方淋巴结清扫的关键，对降低手术难度、减少术中副损伤和术后并发症有重要意义。

关键词: 直肠肿瘤, 淋巴结切除术, 治疗结果

The lateral lymph node dissection in laparoscopic lower rectal cancer surgery remained a challenge. It may lead to collateral damage in the operation and some postoperative complications. Comprehensive understanding of the perirectal neurotomy and excellent surgical skills of preservation of autonomic nerves in lateral lymph node dissection are key points. These skills are also important in reducing the difficulty and collateral damage in the operation.

Key words: Rectal Neoplasms, Lymph Node Excision, Treatment Outcome
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