4K腹腔镜横结肠癌根治术淋巴结清扫与关键技术
Chinese Journal of Digestive Surgery(2021)
Abstract
腹腔镜横结肠癌根治术难度较大,具有手术区域大、步骤多、临床解剖变异多等特点,需遵循系膜完整切除的清扫原则。4K腹腔镜画面高清,术中可有效辅助对血管的识别保护和离断,判断筋膜间隙,以肠系膜上静脉为指引,中间入路进入Toldt筋膜间隙,完成左、右横结肠及其系膜下区彻底游离清扫和结肠上区、肝曲及脾曲游离。笔者总结实践经验,探讨4K腹腔镜横结肠癌根治术淋巴结清扫范围,分享手术经验。
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Key words
Colon neoplasms,Transverse colon,Radical resection,Lymph node dissection,4K resolution,Laparoscopy
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