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中华普外科手术学杂志(电子版) ›› 2021, Vol. 15 ›› Issue (05) : 482 -485. doi: 10.3877/cma.j.issn.1674-3946.2021.05.003

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中国腹腔镜右半结肠癌手术20年术式演变与发展
申占龙1, 叶颖江1,()   
  1. 1. 100044 北京大学人民医院胃肠外科,北京大学人民医院外科肿瘤研究室,北京市结直肠癌诊疗研究重点实验室
  • 收稿日期:2020-08-16 出版日期:2021-10-26
  • 通信作者: 叶颖江

The evolution and development of laparoscopic surgery for right colon cancer in China in 20 years

Zhanlong Shen1, Yingjiang Ye1,()   

  1. 1. Department of Gastroenterological Surgery, Laboratory of Surgical Oncology, Laboratory of General Surgery, Beijing Key Laboratory of Colorectal Cancer Diagnosis and Treatment Research, Peking University People’s Hospital, Peking 100044, China
  • Received:2020-08-16 Published:2021-10-26
  • Corresponding author: Yingjiang Ye
  • Supported by:
    National Natural Science Foundation of China(81972240)
引用本文:

申占龙, 叶颖江. 中国腹腔镜右半结肠癌手术20年术式演变与发展[J]. 中华普外科手术学杂志(电子版), 2021, 15(05): 482-485.

Zhanlong Shen, Yingjiang Ye. The evolution and development of laparoscopic surgery for right colon cancer in China in 20 years[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2021, 15(05): 482-485.

根治性切除是使结直肠癌患者获得治愈的主要手段,近二十年,随着医学科技的发展和手术理念的更新,腹腔镜成为了我国外科医生实施结直肠癌根治术的主要方式。我国外科医生一直致力于腹腔镜右半结肠癌根治术新理念、新入路和新术式的探索和推广,对提升我国右半结肠癌的腹腔镜治疗水平发挥了积极作用。完整结肠系膜切除术理念的提出推动了我国腹腔镜右半结肠癌根治术的规范开展和质量控制;手术入路的探索是我国腹腔镜右半结肠癌根治手术演变和发展的重要体现;从手助腹腔镜到手术机器人,我国腹腔镜右半结肠癌根治术的微创化不断提升。未来我国外科医生还将携手国际同道,围绕进一步提升腹腔镜右半结肠癌根治术质量、优化围手术期综合治疗策略、预后改善和快速康复等方面共同努力和做出贡献。

Radical resection is the mainstay treatment of colorectal cancer. In recent 20 years, with the development of medical science and technology and the continuous update of surgical concept, laparoscopy has become the main way for surgeons to perform radical resection of colorectal cancer in China. Surgeons in our country have been committed to the exploration and promotion of new concepts, new approaches and new operations of laparoscopic right-side colon cancer resection, which has played a positive role in improving the level of laparoscopic operation of ascending colon cancer in China. The concept of complete mesocolic excision has promoted the standardization and quality control of laparoscopic right hemicolectomy in China; the exploration of surgical approaches is an important embodiment of the evolution and development of laparoscopic right hemicolectomy in China; from hand-assisted laparoscopy to robot-assisted surgery, the minimally invasive laparoscopic right hemicolectomy in China has been continuously improved. In the future, Chinese surgeons would join hands with international counterparts to better improve the quality of laparoscopic right colon cancer radical surgery, to optimize the comprehensive therapuetic strategy in the perioperative period, in order to improve the prognosis with rapid rehabilitation.

[1]
姚宏伟,李心翔,崔龙,等. 中国结直肠癌手术病例登记数据库2019年度报告:一项全国性登记研究[J]. 中国实用外科杂志202040(1):106-110,116.
[2]
Heald RJ, Husband EM, Ryall RD. The mesorectum in rectal cancer surgery-the clue to pelvic recurrence? [J]. Br J Surg198269(10):613-616.
[3]
Hohenberger W, Weber K, Matzel K, et al. Standardized Surgery for Colonic Cancer: Complete Mesocolic Excision and Central Ligation-Technical Notes and Outcome[J]. Colorectal Disease200911(4):354-365.
[4]
叶颖江,Hohenberger W,王杉. 结肠癌完整结肠系膜切除--规范化质量控制手术的趋势[J]. 中国实用外科杂志201131(6):470-472.
[5]
Gao Z, Ye Y, Zhang W, et al. An anatomical, histopathological, and molecular biological function study of the fascias posterior to the interperitoneal colon and its associated mesocolon: their relevance to colonic surgery[J]. J Anat2013223(2):123-132.
[6]
Gao Z, Wang C, Cui Y, et al. Efficacy and Safety of Complete Mesocolic Excision in Patients With Colon Cancer: Three-year Results From a Prospective, Nonrandomized, Double-blind, Controlled Trial[J]. Ann Surg2020271(3):519-526.
[7]
郑民华,马君俊. 腹腔镜右半结肠完整结肠系膜切除术[J/CD]. 中华腔镜外科杂志(电子版)20158(1):1-4.
[8]
池畔,黄颖. 腹腔镜全结肠系膜切除术[J]. 中华消化外科杂志201211(1):49-51.
[9]
肖毅,邱辉忠,吴斌,等. 腹腔镜下根治性右半结肠切除术的手术效果和肿瘤学疗效[J]. 中华外科杂志201452(4):249-253.
[10]
孙跃明. 腹腔镜右半结肠癌根治术难点与关键技术[J/CD]. 中华普通外科手术学杂志(电子版)201711(2):102-104.
[11]
Young-Fadok TM, Nelson H. Laparoscopic right colectomy: five-step procedure[J]. Dis Colon Rectum200043(2):267-271.
[12]
王存川,徐以浩. 腹腔镜结直肠手术55例报告[J]. 中国现代手术学杂志200011(4):256-258.
[13]
孙跃明,封益飞,张冬生,等. 以肠系膜上动脉为导向的右半结肠全结肠系膜切除术治疗右半结肠癌的应用价值[J]. 中华消化外科杂志201918(8):753-760.
[14]
刁德昌,卢新泉,何耀彬,等. 动脉优先入路法腹腔镜右半结肠癌根治术的可行性及应用价值[J]. 中华胃肠外科杂志201720(1):90-93.
[15]
Hashiguchi Y, Muro K, Saito Y, et al. Japanese Society for Cancer of the Colon and Rectum (JSCCR) guidelines 2019 for the treatment of colorectal cancer[J]. Int J Clin Oncol202025(1):1-42.
[16]
张森,冯波,马君俊,等. "翻页式"完全中间入路腹腔镜右半结肠癌完整结肠系膜切除术[J]. 中华消化外科杂志201514(12):1026-1030.
[17]
谢忠士,李春生,房学东. 腹腔镜右半结肠切除术外侧入路"互"字形游离技术的应用[J]. 中华胃肠外科杂志201720(5):587-588.
[18]
张俊立,韩广森,马鹏飞,等. 腹腔镜辅助下"回"字型根治性右半结肠切除术的应用[J]. 华中科技大学学报(医学版)201948(2):246-248.
[19]
张宏,刘金钢. 腹腔镜下大肠癌手术[M]. 北京:人民卫生出版社,2015:116-133.
[20]
邹瞭南,熊文俊,李洪明,等. 尾侧入路腹腔镜右半结肠癌根治术疗效分析[J].中华胃肠外科杂志201518(11):1124-1127.
[21]
候东生,叶劲松,闫东红,等. 手助腹腔镜下右半结肠切除术的技巧[J]. 腹腔镜外科杂志200611(1):30-31.
[22]
刘汉东. 3D与2D腹腔镜根治术治疗右半结肠癌的疗效对比[J/CD]. 中华普外科手术学杂志(电子版), 201913(1): 102-104.
[23]
Weber PA, Merola S, Wasielewski A, et al. Telerobotic-assisted laparoscopic right and sigmoid colectomies for benign disease[J]. Dis Colon Rectum2002, 45(12):1689-1694.
[24]
鲍杨,江志伟,谢立飞,等. 达芬奇机器人系统辅助右半结肠切除术[J]. 中华普通外科杂志201126(7): 540-542.
[25]
刘东宁,熊凌强,邹震,等. 机器人与腹腔镜右半结肠切除术近期疗效对照研究[J]. 中国实用外科杂志201636(11):1187-1189.
[26]
罗华星,唐波,张超,等. 达芬奇机器人手术系统辅助右半结肠癌根治术的临床疗效[J]. 中华消化外科杂志201918(5):472-476.
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